Angela Phan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11022205 Issued in FL

Practice address

4122 NW 128TH Ter
Gainesville, FL 32606-4800

Phone

(352) 792-9995

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Gainesville, FL, CCN 687196

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 93)

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment Care Compare group NPD
• Alliance Family Physicians, PA

  • Adult Medicine Physician
  • Gainesville, FL
  • NPI 1245289206
  Medicare reassignment NPD
• Islf-Deerwood Place-Jacksonville LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1548264096
  NPD (past)

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

• CHC of Gainesville, LLC

  • Home Health Agency
  • Gainesville, FL
  • NPI 1629670310
  Care Compare affiliation

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1043076805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056401",
            "telephone_number": "352-234-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 NW 128TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064800",
            "telephone_number": "352-792-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Rivers Phalin, PHD
• Vaishali V Phalke, MB BS
• Angela Kim Pham, M.D.
• Don Pham, EMT-B
• Patrick Pham, MD
• Han Bao Phan
• Minh T Phan
• Shirley Phan
• Delaney Phelps, RBT
• Jonathan Phelps, PHARM.D.

• Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.