Individual provider Active NPI

Brittnee L. Angle, PA-C

  • Physician Assistant
  • Nicholasville, KY
National Provider Identifier
1174042055
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2248 Issued in KY
Practice address
1250 Keene Rd Ste 102
Nicholasville, KY 40356-7600
Phone
(606) 859-4429
Fax
(859) 276-5919
NPI assigned
Sep 12, 2017
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2248 KY Primary

Addresses

Primary practice location

1250 Keene Rd Ste 102
Nicholasville, KY 40356-7600

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

3229 Summit Square Pl Ste 240
Lexington, KY 40509-2664
Phone (859) 263-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20171113000455 KY Practitioner - Physician Assistant 1850657685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000

1025 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-2370

1401 Harrodsburg Rd
Lexington, KY 40504-3751
Phone (859) 276-4429

150 War Admiral
Suite 2
Danville, KY 40422-8690
Phone (859) 887-6850

227 Falcon Dr
Mt Sterling, KY 40353-9792

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

325 N Walnut St
Lebanon, KY 40033-1377
Phone (859) 215-5665

62 Westridge Dr
Danville, KY 40422-8932
Phone (859) 755-4854

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Mar 4, 2019 Accepting new patients
Ephraim McDowell Health Resource,Inc CurrentSince Mar 4, 2019 Accepting new patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc Physician Assistant Past Accepting new patients
Bluegrass Renal Care, PSC PastSince Jul 21, 2024 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1250 Keene Rd
#102
Nicholasville, KY 40356
Phone (859) 885-9402

Interoperability endpoints

  • Direct secure messaging: bangle317813@direct.stlukeshealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1174042055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 KEENE RD STE 102",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403567600",
            "telephone_number": "606-859-4429",
            "fax_number": "859-276-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 Summit Square Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092664",
            "country_code": "US",
            "telephone_number": "859-263-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLE",
        "first_name": "BRITTNEE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.