Individual provider Active NPI

Angela Leanne Madewell, FNP

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1417231044
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
678281 Issued in TX
Practice address
450 Cypress Creek Rd BLDG 5
Cedar Park, TX 78613-4194
Phone
(512) 249-1400
NPI assigned
Sep 30, 2011
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 678281 TX Primary

Addresses

Primary practice location

450 Cypress Creek Rd BLDG 5
Cedar Park, TX 78613-4194

Mailing address

450 Cypress Creek Rd BLDG 5
Cedar Park, TX 78613-4194
Phone (512) 249-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Angela.Madewell.1@1570.direct.athenahealth.com Direct

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
I20120328000531 TX Practitioner - Nurse Practitioner 8628238664 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Nov 1, 2020 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Mar 1, 2025 Accepting new patients
Timberland Medical Group Family CurrentSince Nov 1, 2020 Accepting new patients
Steven K Foster, MD,PA CurrentSince Jul 1, 2018 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

1411 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 551-3490

190 Buttercup Creek Blvd
Cedar Park, TX 78613
Phone (512) 336-5824

450 Cypress Creek Rd
Bldg 5
Cedar Park, TX 78613
Phone (512) 249-1400

1900 Scenic Dr
Ste 2218
Georgetown, TX 78626
Phone (512) 298-3901

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Interoperability endpoints

  • Direct secure messaging: angela.madewell.1@1570.direct.athenahealth.com

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": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1417231044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CYPRESS CREEK RD BLDG 5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134194",
            "telephone_number": "512-249-1400",
            "fax_number": "512-249-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CYPRESS CREEK RD BLDG 5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134194",
            "telephone_number": "512-249-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEWELL",
        "first_name": "ANGELA",
        "middle_name": "LEANNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "678281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Angela.Madewell.1@1570.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct address in EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 Cypress Creek Rd Bldg 5",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786134194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.