Active NPI
Angela Renee Pool, ARNP
- Primary Care Nurse Practitioner
- Defuniak Springs, FL
National Provider Identifier
1447338603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R0072345
- Practice address
- 21 W Main Ave
Defuniak Springs, FL 32435-2529 - Phone
- (850) 892-2888
- Fax
- (850) 892-2405
- NPI assigned
- Nov 2, 2006
- Last updated
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | APRN11012186 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11012186 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | R0072345 | OK | Primary |
Addresses
Primary practice location
21 W Main Ave
Defuniak Springs, FL 32435-2529
Mailing address
PO Box 1100
West Plains, MO 65775-1100
Phone (417) 256-9111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200804758 | Medicaid | AR | |
| 5100141 | Other | AETNA | |
| 125187100 | Medicaid | FL | |
| 248704113 | Other | OK | MEDICARE ID |
| 1447338603 | Medicaid | MO | |
| 200100690A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221129001440 | FL | Order and Referring Only - Nurse Practitioner | 1759383219 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 W Main Ave
Defuniak Springs, FL 32435-2529
Phone (850) 892-2888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- a.pool@mhccaremail.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Defuniak Springs, FL
- NPI 1437271509
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
dba North Walton Doctors Hospital
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
dba Wiregrass Medical Center
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1447338603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657751100",
"telephone_number": "417-256-9111",
"fax_number": "417-257-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W MAIN AVE",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324352529",
"telephone_number": "850-892-2888",
"fax_number": "850-892-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "ANGELA",
"middle_name": "RENEE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "FL",
"license": "APRN11012186",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11012186",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "R0072345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200804758",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5100141",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125187100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "248704113",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447338603",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200100690A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.