Individual provider Active NPI

Angela Pickerel, DNP, CNP, FNP-C

  • Family Nurse Practitioner
  • Blue Earth, MN
National Provider Identifier
1003447913
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7198 Issued in MN
Practice address
515 S Moore St
Blue Earth, MN 56013-2158
Phone
(507) 526-3273
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 7198 MN Primary

Addresses

Primary practice location

515 S Moore St
Blue Earth, MN 56013-2158

Mailing address

515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200323000694 MN Practitioner - Nurse Practitioner 0446688626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
United Hospital District IncGroup PAC ID 6204158884, 50 clinicians

Practice addresses (Care Compare)

515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7198MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital District Inc. CurrentSince Mar 4, 2020 Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients

Locations

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1003447913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S MOORE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132158",
            "telephone_number": "507-526-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MOORE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132158",
            "telephone_number": "507-526-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKEREL",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DNP, CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Earth, MN

Sources for this page

Verify at the official NPI Registry.