Active NPI
Angela Marie Aldoretta, RN, NNP
- Neonatal Nurse Practitioner
- Grand Junction, CO
National Provider Identifier
1467446245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- NP4551
- Practice address
- 2635 N 7TH St
Grand Junction, CO 81501 - Phone
- (970) 244-6166
- Fax
- (970) 255-1809
- NPI assigned
- Sep 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 168504 | CO | |
| Neonatal Nurse Practitioner | 363LN0000X | NP4551 | CO | Primary |
Addresses
Primary practice location
2635 N 7TH St
Grand Junction, CO 81501
Mailing address
PO Box 62
Grand Junction, CO 81502-0062
Phone (970) 244-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92878784 | Medicaid | CO |
Other names 1
- Angela Marie Novak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20260521003895 | GA | Practitioner - Nurse Practitioner | 8325518160 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2002 Palmyra Rd
Suite 201
Albany, GA 31701-1591
2002 Palmyra Rd
Suite 201
Albany, GA 31701-1593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168504 | CO | MD | Neonatal Intensive Care Registered Nurse |
| NP4551 | CO | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Healthcare System | Past | Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1467446245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815020062",
"telephone_number": "970-244-7050",
"fax_number": "970-255-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-244-6166",
"fax_number": "970-255-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDORETTA",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "RN, NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "CO",
"license": "168504",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "NP4551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92878784",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "NOVAK",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.