Individual provider Active NPI

Angela Leigh Anderson, NP

  • Family Nurse Practitioner
  • N Wilkesboro, NC
National Provider Identifier
1417243502
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005204 Issued in NC
Practice address
1913 W Park Dr
N Wilkesboro, NC 28659-3564
Phone
(336) 844-8020
Fax
(336) 844-8029
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005204 NC
Family Nurse Practitioner 363LF0000X 5005204 NC Primary

Addresses

Primary practice location

1913 W Park Dr
N Wilkesboro, NC 28659-3564

Mailing address

1913 W Park Dr
North Wilkesboro, NC 28659-3564
Phone (336) 844-8020

Other practice location 1

250 18th Street Cir SE
Hickory, NC 28602-1361
Phone (828) 324-4005

Other identifiers 1

IdentifierTypeStateIssuer
1417243502MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110823000838 NC Practitioner - Nurse Practitioner 5991975369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

190 Kimel Park Dr
Suite 140
Winston Salem, NC 27103-6946
Phone (336) 277-2225

2080 W Arlington Blvd
Suite B
Greenville, NC 27834-3770
Phone (252) 752-2140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Carolinas Emergency Group, PLLC CurrentSince Sep 1, 2015 Accepting new patients
East Carolina Anesthesia Associates, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Springs Road Consulting LLC Past Accepting new patients

Locations

2010 W Arlington Blvd
Greenville, NC 27834
Phone (252) 847-0601

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1417243502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-844-8020",
            "fax_number": "336-844-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-844-8020",
            "fax_number": "336-844-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 18th Street Cir SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286021361",
            "country_code": "US",
            "telephone_number": "828-324-4005",
            "fax_number": "828-315-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417243502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.