Individual provider Active NPI

Angela Mae Riddle, APRN

  • Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1104121730
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4425 Issued in SC
Practice address
335 Pleasant Point Dr
Beaufort, SC 29907-1164
Phone
(803) 699-9073
Fax
(866) 527-0937
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4425 SC Primary

Addresses

Primary practice location

335 Pleasant Point Dr
Beaufort, SC 29907-1164

Mailing address

PO Box 84068
Lexington, SC 29073-0002
Phone (803) 699-9073

Other identifiers 1

IdentifierTypeStateIssuer
NP1857MedicaidSC

Other names 1

  • Angela Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110128000585 SC Practitioner - Nurse Practitioner 7315126828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health Associates, PAGroup PAC ID 6204739881, 9 clinicians

Practice addresses (Care Compare)

101 N Hermitage Rd
Beaufort, SC 29902-5321
Phone 8036999073170

Merit-based Incentive Payment System (MIPS)

Final score
77.72 of 100Reported as group
Quality
60.41
Improvement activities
40
Cost
57.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Associates, PA CurrentSince Jan 31, 2010 Accepting new patients

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1104121730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84068",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290730002",
            "telephone_number": "803-699-9073",
            "fax_number": "866-527-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PLEASANT POINT DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071164",
            "telephone_number": "803-699-9073",
            "fax_number": "866-527-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "4425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1857",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FOSTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.