NPPES file of Aug 9, 2026

Annisa Nabila Soeboer, PA-C

Physician Assistant · Fremont, CA

Annisa Nabila Soeboer, PA-C is a physician assistant with a practice address in Fremont, California, and NPI 1053985929, issued on May 16, 2021. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053985929
Name
Annisa Nabila Soeboer
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
Practice location
2000 Mowry Ave, Fremont, CA 94538
Phone
(707) 771-5687
Enumerated
May 16, 2021
Record last updated
Mar 7, 2023
Medicare enrollment
Enrolled (PECOS I20231201002350); accepts Medicare assignment
Medical or professional school
Touro Un College Of Osteopathic Medicine, Vallejo, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2000 Mowry Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Suselina Acosta-Goldstein, MDPsychiatry Physician1841557683
  2. Carmencita Agcaoili, M.D.Critical Care Medicine (Internal Medicine) Physician1285652396
  3. Paul Aguilera, MDInternal Medicine Physician1023639804
  4. Nivek Amin, MDAnesthesiology Physician1518288125
  5. Harry Andrews, MDEmergency Medicine Physician1295865426
  6. Sophia Antoun, PA-CPhysician Assistant1205513645

Verify Annisa Nabila Soeboer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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74% fewer Medicare Part D claims than the average physician assistant in 2024

213 Medicare Part D claims for 150 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.

  1. Annisa Soeboer213
  2. Specialty average830

Most prescribed

  1. Amoxicillin21 claims
  2. Albuterol Sulfate Hfa20 claims
  3. Fluticasone Propionate14 claims
  4. Paxlovid13 claims
  5. Cephalexin12 claims
  6. Prednisone12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 87.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score88.3
  2. Costout of 100 · 30%69.5
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. City Medical OF Upper East Side PLLCBrooklyn, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Annisa Nabila Soeboer among 14,451 physician assistant records in California

Annisa Nabila Soeboer, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 67% of them.

  • NPI issued2021 · 67% of these records are older, 27% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated2022 · median 2018 among the 7,214 with a school on file
  • Record last updated2023 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

78 physician assistant records list a practice address in Fremont

They are 78 of the 4,749 NPPES records with a practice address in Fremont, and 14,451 physician assistant records in California.

The 8 physician assistant records with the nearest ZIP codes

  1. Jia Afnan, PAFremont, CA 945381376763698
  2. Jeffrey Cooper, PA-CFremont, CA 945381639239205
  3. Karen Garn, P.A.Fremont, CA 945381538168067
  4. Tammi Groom, PA-CFremont, CA 945381952472151
  5. Keith Jeffrey, PA-CFremont, CA 945381164461745
  6. Kristi Larock, PAFremont, CA 945381255317350
  7. Meagan Nguyen, P.A.Fremont, CA 945381639181514
  8. Judith Pierre, MS, RD, CDEFremont, CA 945381932257490

Common questions

What is Annisa Nabila Soeboer, PA-C's NPI number?

Annisa Nabila Soeboer, PA-C's National Provider Identifier (NPI) is 1053985929, issued on May 16, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Annisa Nabila Soeboer, PA-C located?

The NPPES record lists a practice address at 2000 Mowry Ave, Fremont, CA, 94538. Phone: (707) 771-5687. Providers update this record themselves, so call before visiting.

How can I verify Annisa Nabila Soeboer, PA-C's license?

Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Annisa Nabila Soeboer, PA-C prescribe under Medicare Part D?

In 2024, Annisa Nabila Soeboer, PA-C had 213 Medicare Part D claims for 150 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Annisa Nabila Soeboer, PA-C's MIPS final score?

The 2023 MIPS final score is 87.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.