MRS. ANGELA PATRICE PETTIS CRNA
NPI 1649457706
Nurse Anesthetist, Certified Registered in Andrews Afb, MD
About Mrs. Angela Patrice Pettis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANGELA PATRICE PETTIS CRNA (NPI 1649457706) is an individual nurse anesthetist, certified registered in Andrews Afb, Maryland, licensed in Virginia (0024169705) and active in the NPI registry since January 2008. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Angela Patrice Pettis Crna 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.
Medicare Billing Reassignments
4Medicare enrollment records show Angela Pettis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20036
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 3,530 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1528578333 (Maryland)
- 482 clinicians in this Medicare group
Waldorf, MD 20602
- Reassigned Medicare billing, Maryland enrollment
- 11 clinicians in this Medicare group
Arlington, VA 22205
- Reassigned Medicare billing, District of Columbia enrollment
- 158 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANDREWS AIR FORCE BASE, MD 20762
JOINT BASE ANDREWS, MD 20762
ANDREWS AFB, MD 20762
ANDREWS AFB, MD 20762
ANDREWS AFB, MD 20762
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 Pettis's NPI number?
The NPI number for Angela Pettis is 1649457706. It was assigned to this individual provider in the NPPES registry on January 30, 2008.
Where is Angela Pettis located?
Angela Pettis practices at 1050 W Perimeter Rd, Andrews Afb, MD 20762. The listed phone number is (240) 857-8509.
What is Angela Pettis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Angela Pettis enrolled in Medicare?
Yes. Angela Pettis 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 organizations bill Medicare for Angela Pettis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Pettis reassigns Medicare benefits to 4 organizations: Medstar Medical Group II LLC (Washington, DC), Medstar Medical Group Anesthesiology LLC (Washington, DC), Waldorf Anesthesia Services LLC (Waldorf, MD) and Dominion Anesthesia, PLLC (Arlington, VA). Each 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 Pettis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Pettis was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Mrs. Angela Patrice Pettis, CRNA · NPI 1649457706
Nurse Anesthetist, Certified Registered physician in Andrews Afb, Maryland. Individual provider, active in the CMS NPPES registry since January 30, 2008.
## Identity
- **NPI:** 1649457706 (Entity type: Individual)
- **Enumerated:** January 30, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0024169705 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1050 W PERIMETER RD, Andrews Afb, MD 20762-6601
- **Phone:** (240) 857-8509
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1376887844, Washington, DC); Medstar Medical Group Anesthesiology LLC (NPI 1558976175, Washington, DC); Waldorf Anesthesia Services LLC (NPI 1295199925, Waldorf, MD); Dominion Anesthesia, PLLC (NPI 1073554952, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 6, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1649457706) · Data from the CMS NPPES public registry.