Individual provider Active NPI

Angela M Petts

  • Case Manager/Care Coordinator
  • Evansville, IN
National Provider Identifier
1295644573
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
1450324 Issued in IN
Practice address
12434 Red Gate Rd
Evansville, IN 47725-9001
Phone
(812) 881-7699
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X 1450324 IN Primary

Addresses

Primary practice location

12434 Red Gate Rd
Evansville, IN 47725-9001

Mailing address

12434 Red Gate Rd
Evansville, IN 47725-9001
Phone (812) 881-7699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1295644573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12434 RED GATE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259001",
            "telephone_number": "812-881-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12434 RED GATE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259001",
            "telephone_number": "812-881-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": "1450324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.