Individual provider Active NPI

Angela Johnson Register, FNP-C

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1053077628
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015985 Issued in FL
Practice address
2502 Quincy Ave
Fort Pierce, FL 34947-4766
Phone
(772) 302-9580
Fax
(772) 302-9582
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11015985 FL Primary
Family Medicine Physician 207Q00000X 11015985 FL

Addresses

Primary practice location

2502 Quincy Ave
Fort Pierce, FL 34947-4766

Mailing address

16 SW Cabana Point Cir
Stuart, FL 34994-4803
Phone (919) 524-2934

Other practice location 1

16 SW Cabana Point Cir
Stuart, FL 34994-4803
Phone (919) 524-2934

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220106001817 FL Practitioner - Nurse Practitioner 9739570474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2502 Quincy Ave
Fort Pierce, FL 34947-4766

6224 Powell Rd
Parker, CO 80134-5619

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015985FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett D Schoch D C P a Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

2502 Quincy Ave
Fort Pierce, FL 34947
Phone (561) 352-7413

8631 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 302-9580

Interoperability endpoints

  • Direct secure messaging: angela.register@171227163852804.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1053077628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SW CABANA POINT CIR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944803",
            "telephone_number": "919-524-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 QUINCY AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-302-9580",
            "fax_number": "772-302-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 SW Cabana Point Cir",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944803",
            "country_code": "US",
            "telephone_number": "919-524-2934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGISTER",
        "first_name": "ANGELA",
        "middle_name": "JOHNSON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015985",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11015985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.