Lorraine Angel, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Statesville, NC
NPI 1194748665 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194748665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 41526 (NC)
- Practice address
- 557 Brookdale Dr
Statesville, NC 28677-4107 - Phone
- (704) 873-5661
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Watauga Medical Center Inc
Practice addresses (Care Compare)
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 263-4133
Hospital & facility affiliations
- Watauga Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000565 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395860340 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41526 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Current |
Accepting new patients | |
| Watauga Medical Center Inc | Current |
Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Watauga Medical Center Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Iredell Memorial Hospital, Incorporated | Current |
Accepting new patients |
Locations
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461
Interoperability endpoints
- langel1020694@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 41526 | NC | Yes |
Addresses
Primary practice location
557 Brookdale Dr
Statesville, NC 28677-4107
Mailing address
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050016 | Medicaid | NC |
Other providers in Statesville, NC
- American Renaissance School
- Priya Amin
- Karen Anne Amirehsani
- Ashlyn Anders
- Courtney Marie Anderson
- Ariel Jaleigh Ansley
- Brandi Hamilton Anthony
- Temesan Dinah Anukwuem
- Carly Applebaum
- Jessica Arcidiacono
All providers in Statesville, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.
- 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.