Angela Lyn Collins, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1224 Issued in TN

Practice address

5651 Frist Blvd
Suite 712
Hermitage, TN 37076

Phone

(615) 872-9966

Fax

(615) 872-9967

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Angela Lyn Wilson Other name

Medicare fee-for-service enrollment

Enrolled in TX, CA, NV3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Western Sierra Medical Clinic IncGroup PAC ID 3971571217, shared by 4 NPIs, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHJBDD

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.

• Psychiatry of Texas PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  NV

  Medicare reassignment Care Compare group
• Pine Ridge Indian Health Service Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment NPD
• Psychplus Associates of California PC

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1457179442
  Medicare reassignment NPD
• Psychplus Medical Associates of California PC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1124875588

  CA, Physician Assistant

  Medicare reassignment NPD
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345

  Physician Assistant

  Medicare reassignment NPD
• Clinic Services of California Medical Group Inc

  • Emergency Medicine Physician
  • Lodi, CA
  • NPI 1578958450
  Medicare reassignment
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  NV

  Medicare reassignment
• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD
• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD
• Center for Spine Joint and Neuromuscular Rehab PC

  • Specialist
  • Murfreesboro, TN
  • NPI 1437496577
  NPD (past)

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

• Prime Healthcare Services - Reno LLC

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  Care Compare affiliation
• Prime Healthcare Services Reno LLC

  • Oncology Clinic/Center
  • Reno, NV
  • NPI 1316442346

  Hospital

  Care Compare affiliation
• Prime Healthcare Services Reno LLC

  • Rehabilitation Hospital Unit
  • Reno, NV
  • NPI 1851658025
  Care Compare affiliation
• Sierra Nevada Memorial-Miners Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1154372076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-872-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-872-9966",
            "fax_number": "615-872-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANGELA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000001224",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WILSON",
            "middle_name": "LYN",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cole Family Practice
• Amy T Cole, CNM, FNP
• Kesha Coleman
• Beatriz Collada, M.D.
• Collins Family & Addiction Medicine, PLLC
• Philip N Collis, M.D.
• Deborah Colton, LPE
• Columbia Dental Group PLLC
• Columbus Medical Services, LLC
• Comprehensive Neurology Center PLLC

• Surgical Physician Assistant in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.