Angelique Lavonne Bishop, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1018731 Issued in TX

Practice address

1038 Early Blvd
Early, TX 76802-2211

Phone

(325) 646-4800

NPI assigned

Jan 12, 2021

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wiseman Family Practice PLLC

  dba Wiseman Family Practice

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1598195042
  Medicare reassignment Care Compare group NPD
• Wiseman Family Practice Co PLLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1295602183
  NPD
• Stefanie McCain MD-Brownwood-PA

  • Gynecology Physician
  • Early, TX
  • NPI 1154799096
  NPD (past)

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

• Hendrick Medical Center Brownwood

  • General Acute Care Hospital
  • Brownwood, TX
  • NPI 1184233785
  Care Compare affiliation

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1104415454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 COUNTY ROAD 139",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "768233822",
            "telephone_number": "325-998-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 EARLY BLVD",
            "city": "EARLY",
            "state": "TX",
            "postal_code": "768022211",
            "telephone_number": "325-646-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ANGELIQUE",
        "middle_name": "LAVONNE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1018731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3Jkenterprises (Action Physical Therapy and Wellness)
• Affinity Distribution, Inc (Affinity Medical Supply)
• Landry Alexander, D.C.
• Randall M Barron, DO
• Patrick Ryan Bell
• Michelle Brasher, LCSW
• Brownwood Hospital LP (One Source Health Center Early)
• Brownwood Optometrists, P.C. (Early Vision)
• Judy Martin Bullard, LCSW
• Stanley Wayne Cavett, O.D.

• Nurse Practitioner in Early, TX
• Providers in Early, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.