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NPI · 1154630366 · NPPES-sourced

Mrs. Bobbie Rae Vangorder P.A.

ActiveMedical Physician Assistant
NPI Number
1154630366
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(315) 349-5537
License NY · 014226
Last Updated
Enumerated
Primary practice addressNY · 13126-3047
110 W Utica StOswego, NY 13126-3047
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About this NPIWhat this record shows.

NPI 1154630366 is registered to Mrs. Bobbie Rae Vangorder P.A., a Medical Physician Assistant practising at 110 W Utica St in Oswego, New York. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Bobbie Rae Vangorder P.A. has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Bobbie Rae Vangorder P.A. accepts. To confirm in-network status with your specific health plan, contact Mrs. Bobbie Rae Vangorder P.A. directly at (315) 349-5537.

Frequently asked

Yes. NPI 1154630366 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (315) 349-5537.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Bobbie Rae Vangorder P.A. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
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