Angela Nicole Hutchinson, FNP
Individual provider Active NPI Family Nurse Practitioner · Bastian, VA
NPI 1154979680 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1154979680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024178078 (VA)
- Practice address
- 12301 Grapefield Rd
Bastian, VA 24314-4547 - Phone
- (276) 688-2626
- Fax
- (276) 688-4336
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Princeton Community Hospital Assn. Inc.
Practice addresses (Care Compare)
122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936
Hospital & facility affiliations
- Princeton Community Hospital Assn Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20200602003082 | WV | Practitioner - Nurse Practitioner | 0042542847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024178078 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn Inc. | Current |
Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current |
Accepting new patients |
Locations
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178078 | VA | Yes |
Addresses
Primary practice location
12301 Grapefield Rd
Bastian, VA 24314-4547
Mailing address
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (276) 688-2626
Other names
- Miss Angela Nicole Hutchinson
Other providers in Bastian, VA
- Chester T. Frethiem
- Mary A Grimmett
- H2 Rehabilitation Services of Virginia, LLC
- Donna L Havens
- Courtney Heltzel
- Lindsey Heldreth Kennedy
- London King
- Mary A Martin
- Deana Michelle McCarty
- Tonya M. McFadden
All providers in Bastian, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.