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Individual provider Active NPI

Angela Mitchell Clater, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1104199215
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3007356 Issued in KY
Practice address
140 Whittington Pkwy
Suite 100
Louisville, KY 40222-4930
Phone
(502) 327-9100
Fax
(502) 742-3767
NPI assigned
Feb 21, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3007356 KY Primary

Addresses

Primary practice location

140 Whittington Pkwy
Suite 100
Louisville, KY 40222-4930

Mailing address

140 Whittington Pkwy
Suite 100
Louisville, KY 40222-4930
Phone (502) 327-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120327000947 KY Practitioner - Nurse Practitioner 0749472348 Reassigns benefits to 3 organizations
I20250110001299 IN Practitioner - Nurse Practitioner 0749472348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CH MSSP Services Ky LLCGroup PAC ID 4587182076, 14 clinicians
Curana Health of Kentucky LLCGroup PAC ID 8325228414, 15 clinicians

Practice addresses (Care Compare)

4965 US Hwy 42
Suite 1000
Louisville, KY 40222-6375
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Aug 1, 2018 Accepting new patients
Curana Health of Kentucky LLC CurrentSince Oct 18, 2024 Accepting new patients
Commonwealth Pain Associates, PLLC Adult Health CurrentSince Aug 1, 2018 Accepting new patients
CH MSSP Services Ky LLC CurrentSince Aug 17, 2025 Accepting new patients
Primary Care @ Home, LLC PastSince Sep 13, 2010 Accepting new patients

Locations

4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (502) 272-4400

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

Organizations & group practices 7

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 5

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1104199215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "502-742-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "502-742-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLATER",
        "first_name": "ANGELA",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3007356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.