Individual provider Active NPI

Angela J H Arsenault, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1003115718
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704283310 Issued in MI
Practice address
8911 N Capital of Texas Hwy Ste 1110
Austin, TX 78759-7203
Phone
(877) 279-5960
Fax
(877) 384-3106
NPI assigned
Mar 21, 2011
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704283310 MI Primary

Addresses

Primary practice location

8911 N Capital of Texas Hwy Ste 1110
Austin, TX 78759-7203

Mailing address

6929 Cooper Rd
Lansing, MI 48911-6527
Phone (517) 391-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000380 MI Practitioner - Nurse Practitioner 5193909414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Medicine PLCGroup PAC ID 4880613637, 33 clinicians
Premier Wound Care PLLCGroup PAC ID 6103273719, 13 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 340
Shelby Township, MI 48315-3140
Phone (586) 731-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704283310MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 8, 2024 Accepting new patients
Premier Wound Care PLLC CurrentSince Aug 14, 2025 Accepting new patients
Great Lakes Medicine, PLC CurrentSince Aug 14, 2025 Accepting new patients
Meridian Eye Care, PC CurrentSince Oct 10, 2022 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

1746 Momentum Pl
Chicago, IL 60689

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

1669 Hamilton Rd
Ste 200
Okemos, MI 48864
Phone (517) 349-4743

1669 Hamilton Rd
Ste 220
Okemos, MI 48864
Phone (517) 381-1000

50505 Schoenherr Rd
Ste 340
Shelby Township, MI 48315
Phone (586) 731-8400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1003115718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 COOPER RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489116527",
            "telephone_number": "517-391-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY STE 1110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597203",
            "telephone_number": "877-279-5960",
            "fax_number": "877-384-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSENAULT",
        "first_name": "ANGELA",
        "middle_name": "J H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704283310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.