Individual provider Active NPI

Angelo P Herbu, ARNP

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1265472096
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9166966 Issued in FL
Practice address
525 E 15TH St
Panama City, FL 32405-5412
Phone
(850) 522-4485
Fax
(850) 522-4484
NPI assigned
Jun 8, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9166966 FL Primary

Addresses

Primary practice location

525 E 15TH St
Panama City, FL 32405-5412

Mailing address

525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4485

Other identifiers 1

IdentifierTypeStateIssuer
004778000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120518000419 FL Practitioner - Nurse Practitioner 3971766528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4485

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management Center of NW FL, Inc. Current Accepting new patients
Life Management Center of Northwest Florida Inc CurrentSince Jul 1, 2016 Accepting new patients
Life Management Center of Northwest Florida Inc CurrentSince Jul 1, 2016 Accepting new patients
Life Management of NW FL, Inc. Past Accepting new patients
Compass Health, Inc Past Accepting new patients
Life Management of NW FL, Inc. Past Accepting new patients

Locations

16869 NE Pear St
Blountstown, FL 32424
Phone (850) 522-4485

310 E Byrd Ave
Bonifay, FL 32425
Phone (850) 522-4485

4094 Lafayette St
Marianna, FL 32446
Phone (850) 482-7441

525 E 15th St
Panama City, FL 32405
Phone (850) 522-4485

311 Williams Ave
Port St Joe, FL 32456
Phone (850) 522-4485

Organizations & group practices 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1265472096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055412",
            "telephone_number": "850-522-4485",
            "fax_number": "850-522-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055412",
            "telephone_number": "850-522-4485",
            "fax_number": "850-522-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBU",
        "first_name": "ANGELO",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9166966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004778000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.