Annisa Soeboer, PA-C
NPI 1053985929 · Physician Assistant · Fremont, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annisa Soeboer, PA-C is a Physician Assistant provider in Fremont, CA (NPI 1053985929).
Provider details
- NPI number
- 1053985929
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
251 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 105 | $88 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 32 | $69 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $124 |
| Automated Urinalysis Test81003 | 21 | $2 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 21 | $35 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 21 | 15 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 20 | 15 |
| Fluticasone Propionate | 14 | 11 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 13 | 13 |
| Cephalexin | 12 | 12 |
| Prednisone | 12 | 12 |
| Mupirocin | 11 | 11 |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-16
- Last updated
- 2023-03-07
- Certified
- 2022-09-30
Frequently asked questions
- What is Annisa Soeboer's NPI number?
- Annisa Soeboer's National Provider Identifier (NPI) is 1053985929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annisa Soeboer's specialty?
- Annisa Soeboer is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Annisa Soeboer located?
- Annisa Soeboer's practice location on file with NPPES is 2000 Mowry Ave, Fremont, CA 94538-1716.
- What is Annisa Soeboer's phone number?
- The practice phone number listed in the NPPES registry for Annisa Soeboer is (707) 771-5687.
- Does Annisa Soeboer accept Medicare?
- Annisa Soeboer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Annisa Soeboer's NPI active?
- Yes — Annisa Soeboer's NPI (1053985929) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.