Angela Dawn Divjak, MD

NPI 1639343973ActiveIndividual· Family Medicine· Shawano, WI

Family Medicine (MD) in Shawano, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $731,453 for 6,628 claims, against $3,080 paid for services in 2024. E.R. Squibb & Sons, L.L.C. reported $18.94 in payments in 2024, mostly education.

Overview

NPI	1639343973
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Apr 17, 2008
Last updated in NPPES	Jul 16, 2012

Specialties and licenses

Taxonomy	Code	License	State
Family Medicine Primary	207Q00000X	57265-20	WI
Family Medicine	207Q00000X	2008026576	MO

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Family Practice (WI)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	25
Services billed	52 across 17 procedure codes
Paid by Medicare	$3,080

Part D prescriptions in 2024

Prescriptions (claims)	6,628 · 15,329 30-day fills
Patients	462
Total drug cost	$731,453
Generic share	85% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Wisconsin School of Medicine
Graduation year	2008
Medicare specialty	Family Practice
Secondary specialties	Obstetrics/Gynecology