Individual provider Active NPI

Angela Marie Magill, NP-PSYCHIATRY PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, NY
National Provider Identifier
1184935264
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F4012881 Issued in NY
Practice address
12320 Meahl Rd
Akron, NY 14001-9426
Phone
(716) 634-3838
Fax
(716) 634-3833
NPI assigned
Jun 23, 2010
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F4012881 NY Primary

Addresses

Primary practice location

12320 Meahl Rd
Akron, NY 14001-9426

Mailing address

12320 Meahl Rd
Akron, NY 14001-9426
Phone (716) 634-3838

Other names 1

  • Angela M Magill Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101011000718 NY Practitioner - Nurse Practitioner 0446442339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12320 Meahl Rd
Akron, NY 14001-9426
Phone (716) 634-3838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4012881NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angela M Magill NP-Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 26, 2010 Accepting new patients
Faye E Taber Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

5820 Main St
Ste 500
Williamsville, NY 14221
Phone (716) 634-2538

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1184935264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 MEAHL RD",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140019426",
            "telephone_number": "716-634-3838",
            "fax_number": "716-634-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 MEAHL RD",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140019426",
            "telephone_number": "716-634-3838",
            "fax_number": "716-634-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "NP-PSYCHIATRY PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F4012881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MAGILL",
            "middle_name": "M",
            "credential": "NP-PSYCHIATRY PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Akron, NY

Sources for this page

Verify at the official NPI Registry.