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ANGELA ISSA
NPI 1609498997
Internal Medicine - Critical Care Medicine in Middleburg, FL

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment
1658 ST VINCENTS WAY STE 210, MIDDLEBURG, FL 32068(904) 602-4481(904) 602-4489 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Aug 30, 2023, May 11, 2020 (3 updates tracked since 2020).

About Angela Issa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA ISSA (NPI 1609498997) is an individual critical care medicine provider in Middleburg, Florida, licensed in Florida (ME180223) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609498997
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameANGELA ISSA
Location Address1658 ST VINCENTS WAY STE 210Middleburg, FL 32068-8459
Mailing Address1658 St Vincents Way Ste 210Middleburg, FL 32068-8459 · (904) 602-4481 · Fax (904) 602-4489
Phone(904) 602-4481
Fax(904) 602-4489
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2020
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1609498997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME180223
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10073174 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1658 ST VINCENTS WAY STE 210, Middleburg, FL 32068
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1465 W Putnam AvePorterville, CA 93257-3320 · Phone (682) 717-3767
Location 23301 Matlock RdArlington, TX 76015-2908 · Phone (817) 347-1141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Issa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072969518
PECOS Enrollment IDI20260526000018
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Angela Issa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincents Ambulatory Care Inc
17 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
121 services113 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY WINGER
Physician Assistant
1658 ST VINCENTS WAY STE 210
MIDDLEBURG, FL 32068
Clay County (904) 308-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Issa's NPI number?

The NPI number for Angela Issa is 1609498997. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Angela Issa located?

Angela Issa practices at 1658 St Vincents Way Ste 210, Middleburg, FL 32068. The listed phone number is (904) 602-4481.

What is Angela Issa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Angela Issa enrolled in Medicare?

Yes. Angela Issa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Angela Issa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Issa reassigns Medicare benefits to St Vincents Ambulatory Care Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Issa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Issa accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Angela Issa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Angela Issa affiliated with any hospitals?

According to CMS data, Angela Issa is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Angela Issa was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.