Angela Andersen, APRN
Individual provider Active NPI Nurse Practitioner · Pensacola, FL
NPI 1063681815 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1063681815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 9494670 (FL)
- Practice address
- 1717 N E St Ste 331
Pensacola, FL 32501-6335 - Phone
- (850) 484-6500
- Fax
- (850) 857-1747
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Medical Group LLC
Practice addresses (Care Compare)
1118 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7801
123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100
125 Baptist Way
Pensacola, FL 32503-2254
9400 University Pkwy
Pensacola, FL 32514-5485
Hospital & facility affiliations
- Baptist Hospital
- Gulf Breeze Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181204001767 | FL | Practitioner - Nurse Practitioner | 5698854768 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9494670 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Group LLC | Multi-Specialty | Current |
Accepting new patients |
| Baptist Medical Group LLC | Multi-Specialty | Current |
Accepting new patients |
| Unmc Physicians | Past | Accepting new patients |
Locations
1118 Gulf Breeze Pkwy
Ste 102
Gulf Breeze, FL 32561
Phone (850) 932-1775
125 Baptist Way
Ste 3A
Pensacola, FL 32503
Phone (448) 227-6500
9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256
1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081
125 Baptist Way
Ste 3C
Pensacola, FL 32503
Phone (448) 227-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 9494670 | FL | Yes |
Addresses
Primary practice location
1717 N E St Ste 331
Pensacola, FL 32501-6335
Mailing address
988095 Nebraska Medical Ctr
Omaha, NE 68198-8095
Phone (402) 559-9800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110521 | Other | NE | NE LICENSE |
Other providers in Pensacola, FL
- Anchor Multispecialty Group
- Anchorage Counseling Service, Inc
- Courtney Andaya
- Lauren Green Anders
- Olivia Autumn Anders
- Mary Elizabeth Andersen
- Stephanie Andersen
- Melinda L Anderson Heim
- Valeria S. Anderson-Barreto
- Amy Allison Anderson
All providers in Pensacola, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.