Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela J Blomgren, PA-C

Individual provider Physician Assistant · NPI 1821272402

Angela J Blomgren, PA-C is a Physician Assistant in Saint Joseph, Michigan. Qualified in 2007, 19 years ago. Practices with Lakeland Hospitals at Niles and St Joseph Inc, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 556-1990
Fax: (269) 556-1996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3950 Hollywood Rd Ste 210, Saint Joseph, MI 49085-9158 — (269) 556-1990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005113 (MI)

Record details

NPI number1821272402
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Lakeland Hospitals At Niles And St Joseph Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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