Individual provider Active NPI

Angela Mae Patrick, APRN

  • Family Nurse Practitioner
  • Grant, NE
National Provider Identifier
1184906422
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111300 Issued in NE
Practice address
912 Central Ave
Grant, NE 69140-3099
Phone
(308) 352-7100
Fax
(308) 352-7290
NPI assigned
Sep 13, 2011
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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 111300 NE Primary

Addresses

Primary practice location

912 Central Ave
Grant, NE 69140-3099

Mailing address

7 Parkway Ave
Grant, NE 69140-3205
Phone (308) 352-2622

Other names 1

  • Miss Angela Mae Zwickl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20111220000304 NE Practitioner - Nurse Practitioner 8325214422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perkins County Hospital DistrictGroup PAC ID 0840109823, shared by 5 NPIs, 22 clinicians

Practice addresses (Care Compare)

912 Central Ave
Grant, NE 69140-3099
Phone (308) 352-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince May 17, 2021 Accepting new patients
Perkins County Hospital District Current Accepting new patients
Perkins County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients

Locations

900 Lincoln Ave
Grant, NE 69140
Phone (308) 284-8421

912 Central Ave
Grant, NE 69140
Phone (308) 352-7100

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

333 Maple St
#105
Sutherland, NE 69165
Phone (308) 386-4799

Organizations & group practices 4

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 1

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1184906422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARKWAY AVE",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691403205",
            "telephone_number": "308-352-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 CENTRAL AVE",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691403099",
            "telephone_number": "308-352-7100",
            "fax_number": "308-352-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ZWICKL",
            "middle_name": "MAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grant, NE

Sources for this page

Verify at the official NPI Registry.