Individual provider Active NPI

Angela Jo Craig, APRN

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1467935114
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005791 Issued in AR
Practice address
2000 S 42ND St Ste 100
Rogers, AR 72758-2001
Phone
(479) 273-9173
NPI assigned
Sep 10, 2018
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 A005791 AR Primary

Addresses

Primary practice location

2000 S 42ND St Ste 100
Rogers, AR 72758-2001

Mailing address

2000 S 42ND St Ste 100
Rogers, AR 72758-2001
Phone (479) 273-9173

Other names 1

  • Angela Jo Mounce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180928001349 AR Practitioner - Nurse Practitioner 3971854027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians

Practice addresses (Care Compare)

101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone (479) 795-0426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005791ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC Family CurrentSince Oct 1, 2018 Accepting new patients
Northwest Physicians LLC CurrentSince Sep 11, 2018 Accepting new patients
Northwest Physicians LLC CurrentSince Sep 11, 2018 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

2000 S 42nd St
Ste 100
Rogers, AR 72758
Phone (479) 254-0434

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

4077 Elm Springs Rd
Ste 105
Springdale, AR 72762
Phone (479) 757-8099

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: angela.craig.2@2229.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1467935114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S 42ND ST STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727582001",
            "telephone_number": "479-273-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S 42ND ST STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727582001",
            "telephone_number": "479-273-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ANGELA",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MOUNCE",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.