Angela C. Baustert, DNP, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Edmond, OK
NPI 1124498282 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1124498282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R0091119 (OK)
- Practice address
- 2901 Fairfax Dr Ste 100
Edmond, OK 73034-3521 - Phone
- (405) 216-3437
- Fax
- (405) 645-7885
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170224000483 | OK | Practitioner - Nurse Practitioner | 6901180611 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0616035 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Logan County, Inc | Current |
Accepting new patients | |
| Resurgence Vitality, LLC | Current |
Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current |
Accepting new patients |
Locations
530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510
2901 Fairfax Dr
Ste 100
Edmond, OK 73034
Phone (405) 216-3437
2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099
1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- abaustert164745@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0091119 | OK | Yes |
Addresses
Primary practice location
2901 Fairfax Dr Ste 100
Edmond, OK 73034-3521
Mailing address
2901 Fairfax Dr Ste 100
Edmond, OK 73034-3521
Phone (405) 216-3437
Other providers in Edmond, OK
- Valerya Basurto
- Isabel Alyssa Batchelor
- Audre Bates
- Travis Baughman
- Amy J Baumann
- Aubrie Nicole Bayless
- BC Behavioral
- BCB West LLC
- Be Well Acupuncture, LLC
- Be Well Healthcare Inc
All providers in Edmond, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.