Angela Marie Minium, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

56973 Issued in NM

Practice address

118 Central Park SQ
Los Alamos, NM 87544-4021

Phone

(505) 662-4798

NPI assigned

Jul 16, 2019

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

Other names 1

• Angela Holmberg Former name

Medicare fee-for-service enrollment

Enrolled in NM

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Lahiri and Mesibov LLCGroup PAC ID 7416990171, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Alamos Medical Center Hospital, Los Alamos, NM, CCN 320033

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBCHBA/Endpoint/EBCHBA

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.

• DRS Lahiri & Mesibov LLC

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1427100445
  Medicare reassignment Care Compare group NPD

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

• PHC-Los Alamos Inc

  • Rural Acute Care Hospital
  • Los Alamos, NM
  • NPI 1285701623
  Care Compare affiliation

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1083267363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444021",
            "telephone_number": "056-625-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444021",
            "telephone_number": "505-662-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIUM",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HOLMBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Abagail Midyette, PA-C
• Karen Miller, C.N.P.
• David Andrew Mills, M.D.
• Necia Mims
• Mind Body Soul Aligned LLC
• Justine Elisa Montano
• Arthur B. Montoya Jr., DDS
• Christian Montoya
• Hannah Morgan, CNM
• Dwight Eric Moss, DMD

• Family Nurse Practitioner in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.