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

Individual provider Physician Assistant · NPI 1629434980

Mrs. Angela Rachelle Miedema, PA-C is a Physician Assistant in Pinehurst, North Carolina. Qualified in 2015, 11 years ago. Practices with Fhpg LLC, a 197-clinician group and accepts Medicare assignment. Licensed in Indiana and North Carolina.

Years since qualifying
11
Licensed in
IN, NC
In the registry since
2016
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

150 Ivey Ln Ste A
Pinehurst, NC 28374-9817
Phone: (910) 215-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09633 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 10001954A (IN)

Record details

NPI number1629434980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 1, 2016
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fhpg Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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