Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Nicole Egmon, PA-C

Individual provider Physician Assistant · NPI 1063199198

Angela Nicole Egmon, PA-C is a Physician Assistant in Jackson, Michigan. Qualified in 2023, 3 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and New Hampshire.

Years since qualifying
3
Licensed in
MI, NH
In the registry since
2023
Specialties on file
2
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

1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850
Phone: (517) 205-1594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012377 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 2082 (NH)

Record details

NPI number1063199198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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