Individual provider Active NPI

Angela Jean Belanger, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1356183172
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235862 Issued in LA
Practice address
2900 Forsythe Ave
Monroe, LA 71201-3010
Phone
(318) 600-4364
Fax
(318) 605-3149
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 235862 LA Primary

Addresses

Primary practice location

2900 Forsythe Ave
Monroe, LA 71201-3010

Mailing address

113 E Frenchmans Bend Rd
Monroe, LA 71203-8701
Phone (985) 991-0110

Other names 1

  • Angela Jean Mullins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240806003470 LA Practitioner - Nurse Practitioner 7416494539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geaux Family Health, LLCGroup PAC ID 6608003553, 2 clinicians

Practice addresses (Care Compare)

2900 Forsythe Ave
Monroe, LA 71201-3010
Phone (318) 600-4364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geaux Family Health, LLC CurrentSince Jun 11, 2024 Accepting new patients

Locations

2900 Forsythe Ave
Monroe, LA 71201
Phone (318) 600-4364

Organizations & group practices 1

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 3

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1356183172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E FRENCHMANS BEND RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038701",
            "telephone_number": "985-991-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013010",
            "telephone_number": "318-600-4364",
            "fax_number": "318-605-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MULLINS",
            "middle_name": "JEAN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.