Individual provider Active NPI

Angela Marie Goebel, FNP

  • Primary Care Nurse Practitioner
  • Woodstock, VA
National Provider Identifier
1427752062
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024185974 Issued in VA
Practice address
124 Valley Vista Dr
Woodstock, VA 22664-1608
Phone
(540) 459-1700
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024185974 VA Primary

Addresses

Primary practice location

124 Valley Vista Dr
Woodstock, VA 22664-1608

Mailing address

250 Memorial Dr
Luray, VA 22835-1000
Phone (540) 536-0103

Other practice location 1

135 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240216003390 VA Practitioner - Nurse Practitioner 6305280454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024185974VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Page Memorial Hospital Inc. CurrentSince Jan 1, 2024 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Shenandoah County Free Clinic Inc CurrentSince May 7, 2024 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Shanadoah County Free Cinic PastSince Apr 6, 2023 Accepting new patients

Locations

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

250 Memorial Dr
Luray, VA 22835
Phone (540) 743-6558

124 Valley Vista Dr
Woodstock, VA 22664
Phone (540) 459-1700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1427752062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MEMORIAL DR",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "540-536-0103",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 VALLEY VISTA DR",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641608",
            "telephone_number": "540-459-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351016",
            "country_code": "US",
            "telephone_number": "540-743-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024185974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

Verify at the official NPI Registry.