NPIMap

Individual provider Active NPI

Angela Sue Brennan, MD

  • Family Medicine Physician
  • Saint Paul, NE
National Provider Identifier
1063451888
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22855 Issued in NE
Practice address
1113 Sherman Street
Saint Paul, NE 68873-0406
Phone
(308) 754-4421
Fax
(308) 754-2303
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22855 NE Primary

Addresses

Primary practice location

1113 Sherman Street
Saint Paul, NE 68873-0406

Mailing address

P.O. Box 406
1113 Sherman Street
Saint Paul, NE 68873-0406
Phone (308) 754-4421

Other names 1

  • Angela Sue Hunke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061023000268 NE Practitioner - Family Practice 0446257182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard County Medical CenterGroup PAC ID 5698775849, 28 clinicians

Practice addresses (Care Compare)

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Medical Center Family Medicine CurrentSince Mar 1, 2011 Accepting new patients
Howard County Medical Center Family Medicine CurrentSince Mar 1, 2011 Accepting new patients
Howard County Medical Center Past Accepting new patients
VSL St Paul LLC Past Accepting new patients
Wolbach Rural Fire Protection District PastSince Apr 30, 2003 Accepting new patients

Locations

1113 Sherman St
Ste 1
Saint Paul, NE 68873

1122 Kendall St
Saint Paul, NE 68873
Phone (308) 754-5447

1113 Sherman St
Saint Paul, NE 68873
Phone (308) 754-4421

Interoperability endpoints

  • Direct secure messaging: angie.brennan@hcmc.nehiidirectmail.org

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.

Hospital & facility affiliations 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1063451888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 406",
            "address_2": "1113 SHERMAN STREET",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688730406",
            "telephone_number": "308-754-4421",
            "fax_number": "308-754-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 SHERMAN STREET",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688730406",
            "telephone_number": "308-754-4421",
            "fax_number": "308-754-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HUNKE",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, NE

Sources for this page

Verify at the official NPI Registry.