Individual provider Active NPI

Maggie D'Angelo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1154043610
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017664 Issued in NC
Practice address
160 NE Maynard Rd Ste 200
Cary, NC 27513-9671
Phone
(919) 466-7540
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4YP5D8MI NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017664 NC Primary

Addresses

Primary practice location

160 NE Maynard Rd Ste 200
Cary, NC 27513-9671

Mailing address

8 Woodsage LN
Durham, NC 27713-4346
Phone (919) 606-4215

Other identifiers 1

IdentifierTypeStateIssuer
2022097187OtherNCBOARD CERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260218000995 NC Practitioner - Nurse Practitioner 0446730428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Psychiatry, PLLCGroup PAC ID 3870764079, 6 clinicians

Practice addresses (Care Compare)

1500 Sunday Dr
Suite 200
Raleigh, NC 27607-5151
Phone (919) 322-2413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4YP5D8MINCMDRegistered Nurse
5017664NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Behavioral Health, PC CurrentSince Feb 12, 2023 Accepting new patients
Wake Psychiatry, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

160 NE Maynard Rd
Ste 200
Cary, NC 27513
Phone (919) 466-7540

1500 Sunday Dr
Ste 200
Raleigh, NC 27607
Phone (919) 322-2413

1500 Sunday Dr
Ste 102
Raleigh, NC 27607
Phone (919) 322-2413

Organizations & group practices 2

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1154043610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WOODSAGE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134346",
            "telephone_number": "919-606-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NE MAYNARD RD STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139671",
            "telephone_number": "919-466-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "MAGGIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "4YP5D8MI",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION NUMBER",
            "identifier": "2022097187",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.