Individual provider Active NPI

Angela H Grimaldo, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1285823344
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
589102 Issued in TX
Practice address
17754 Preston Rd Ste 100
Dallas, TX 75252-5638
Phone
(972) 476-9036
Fax
(972) 476-9926
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 589102 TX Primary

Addresses

Primary practice location

17754 Preston Rd Ste 100
Dallas, TX 75252-5638

Mailing address

17754 Preston Rd Ste 100
Dallas, TX 75252-5638
Phone (214) 810-7740

Other identifiers 1

IdentifierTypeStateIssuer
193396201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080604000029 TX Practitioner - Nurse Practitioner 7719057678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Star Rehabilitation, LLCGroup PAC ID 2062842008, 2 clinicians
Rodom Medical Consulting PAGroup PAC ID 9638176233, 7 clinicians

Practice addresses (Care Compare)

17754 Preston Rd
Suite 100
Dallas, TX 75252-5638
Phone (972) 445-4134

2402 Bernard St
Denton, TX 76205-5848
Phone (940) 566-4961

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Wichita Falls, TX, CCN 459298
  • Falls Home Health Services Inc Home health agency, Wichita Falls, TX, CCN 677259
  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
  • Medical City Denton Hospital, Denton, TX, CCN 450634

Merit-based Incentive Payment System (MIPS)

Final score
68.27 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
90.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rodom Medical Consulting PA CurrentSince Oct 15, 2019 Accepting new patients
Blue Star Rehabilitation, LLC CurrentSince Apr 1, 2020 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

17754 Preston Rd
Ste 100
Dallas, TX 75252
Phone (972) 445-4134

2402 Bernard St
Denton, TX 76205
Phone (940) 566-4961

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200

800 W Airport Fwy
#959
Irving, TX 75062
Phone (972) 445-4134

7918 Broadway St
Ste 104
Pearland, TX 77581
Phone (281) 543-9458

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1285823344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17754 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525638",
            "telephone_number": "214-810-7740",
            "fax_number": "214-810-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17754 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525638",
            "telephone_number": "972-476-9036",
            "fax_number": "972-476-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDO",
        "first_name": "ANGELA",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "589102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193396201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.