Active NPI
Angela Christine Middleton, FNP-BC, CEN
- Family Nurse Practitioner
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012007171
- Practice address
- 1000 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 458-8899
- NPI assigned
- Jun 29, 2012
- Last updated
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024169754 | VA | |
| Family Nurse Practitioner | 363LF0000X | 2012007171 | MO | Primary |
Addresses
Primary practice location
1000 W 10TH St
Rolla, MO 65401-2905
Mailing address
1050 W 10TH St
Attn: Executive Director of Physician Clincs
Rolla, MO 65401-2905
Phone (573) 364-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169754 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Family | Current | Accepting new patients |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Potosi Emergency Group, LLC | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Family | Past | Accepting new patients |
| North Mississippi Medical Center | Past | Accepting new patients | |
| Amory Surgery Clinic, PLLC | Past | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Past | Accepting new patients |
Locations
300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
408 Council Cir
Ste B
Tupelo, MS 38801
Phone (662) 377-3008
4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054
4381 S Eason Blvd
Ste 301
Tupelo, MS 38801
Phone (662) 377-3008
4381 S Eason Blvd
Ste 302
Tupelo, MS 38801
Phone (662) 377-5700
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
Interoperability endpoints
- angelamiddleton@nmhs.medalliesdirect.net
Organizations & group practices 16
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.
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Emergency Medicine Physician
- Potosi, MO
- NPI 1881075349
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
dba Pontotoc Health Services CAH
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba NMMC Acute Trauma Clinic
- Trauma Surgery Physician
- Tupelo, MS
- NPI 1528669041
-
dba Pulmonary Consultants
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1104937143
-
dba The Women's Group West Point
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
dba Pontotoc Health Services CAH - Swing Bed
- Critical Access Hospital
- Pontotoc, MS
- NPI 1962512871
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1124382593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"address_2": "ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINCS",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-364-9000",
"fax_number": "573-426-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-458-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "ANGELA",
"middle_name": "CHRISTINE",
"credential": "FNP-BC, CEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024169754",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012007171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
- Mi Serenity
- Nathan Micklautz, CRNA
- Mid-Missouri Foot and Ankle Center (Anderson Foot Clinic)
- Mid-Missouri Internal Medicine Inc
- Mid-Mo O&P LLC (Hitek Limb and Brace)
- Midwest Chiropractic Center LLC
- Midwest Heart Group of Rolla, LLC
- Vera Mikhailova, MD
- Joshua Ryan Miller, DO
- Margaret P. Miller, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.