ANGIE JOUANEH RIDDLEBERGER P.A,.
NPI 1831174366
Physician Assistant - Medical in Boulder, CO

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
2750 BROADWAY ST, BOULDER, CO 80304(303) 440-3000 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angie Jouaneh Riddleberger P.a,. NPPES

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

ANGIE JOUANEH RIDDLEBERGER P.A,. (NPI 1831174366) is an individual medical provider in Boulder, Colorado, licensed in Colorado (1803) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1831174366
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGIE JOUANEH RIDDLEBERGERCredential: P.A,.
Location Address2750 BROADWAY STBoulder, CO 80304-3573
Mailing Address2750 Broadway StBoulder, CO 80304-3573 · (303) 440-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 7, 2005
Last NPPES UpdateMay 8, 2008
NPI 1831174366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · 1803
2750 BROADWAY ST, Boulder, CO 80304

Other Identifiers 2

Medicare ID-Type Unspecified513778CO
Medicare UPINQ00053

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angie Jouaneh Riddleberger P.a,. 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 ID6507770195
PECOS Enrollment IDI20070522000640
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.

Areas of Expertise CMS Part B claims 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,744 services242 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
369 services269 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
360 services291 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
131 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services104 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
54 services52 patients

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.

Physical Therapist
2750 BROADWAY ST
BOULDER, CO 80304
Psychiatry & Neurology (Neurology)
2750 BROADWAY ST
BOULDER, CO 80304
Family Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Nurse Practitioner (Adult Health)
2750 BROADWAY ST
BOULDER, CO 80304
Audiologist-Hearing Aid Fitter
2750 BROADWAY ST
BOULDER, CO 80304
Family Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Internal Medicine (Gastroenterology)
2750 BROADWAY ST
BOULDER, CO 80304
Internal Medicine
2750 BROADWAY ST
BOULDER, CO 80304

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 Angie Riddleberger's NPI number?

The NPI number for Angie Riddleberger is 1831174366. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Angie Riddleberger located?

Angie Riddleberger practices at 2750 Broadway St, Boulder, CO 80304. The listed phone number is (303) 440-3000.

What is Angie Riddleberger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angie Riddleberger enrolled in Medicare?

Yes. Angie Riddleberger 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.

When was this NPI record last updated?

The NPPES record for Angie Riddleberger was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.