Individual provider Active NPI

Angela Beth Thomas, NP

  • Family Nurse Practitioner
  • Moberly, MO
National Provider Identifier
1124600333
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021000793 Issued in MO
Practice address
1517 Union Ave Ste D
Moberly, MO 65270-9471
Phone
(660) 675-4216
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021000793 MO Primary

Addresses

Primary practice location

1517 Union Ave Ste D
Moberly, MO 65270-9471

Mailing address

1517 Union Ave Ste D
Moberly, MO 65270-9471
Phone (660) 675-4216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210513001507 MO Practitioner - Nurse Practitioner 3476962960 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021000793MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Clinic, Inc CurrentSince Jun 1, 2021 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Jun 1, 2021 Accepting new patients
Regional Health Care Clinic Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

1825 Atchison Ave
Marshall, MO 65340
Phone (660) 886-3434

821 Westwood Dr
Sedalia, MO 65301

305 W Main St
Sedalia, MO 65301
Phone (660) 310-0909

41569 Ivy Bend Rd
Stover, MO 65078
Phone (877) 733-5824

701 N Oak St
Stover, MO 65078
Phone (573) 377-2217

913 W Newton St
Versailles, MO 65084
Phone (573) 378-4231

1109 W Clay Rd
Versailles, MO 65084
Phone (573) 378-2349

17571 N Dam Access Rd
Warsaw, MO 65355
Phone (660) 428-1280

Organizations & group practices 3

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1124600333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 UNION AVE STE D",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709471",
            "telephone_number": "660-675-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 UNION AVE STE D",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709471",
            "telephone_number": "660-675-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANGELA",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021000793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.