Individual provider Active NPI

Angela T Price, FNP

  • Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1477917342
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP11172 Issued in AZ
Practice address
3251 N Windsong Dr
Prescott Valley, AZ 86314
Phone
(928) 772-2582
Fax
(928) 772-2383
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21026 TN
Nurse Practitioner 363L00000X AP11172 AZ Primary

Addresses

Primary practice location

3251 N Windsong Dr
Prescott Valley, AZ 86314

Mailing address

PO Box 26568
Prescott Valley, AZ 86312-6568
Phone (928) 778-1251

Other practice location 1

211 Indian Lake Blvd
Hendersonville, TN 37075-6214
Phone (615) 826-3100

Other identifiers 2

IdentifierTypeStateIssuer
MSL165925TNOtherTNMULTI-STATE LICENSE
AP11172OtherAZARIZONA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211013003722 AZ Practitioner - Nurse Practitioner 3678846581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

2062 Willow Creek Rd
Prescott, AZ 86301-5389
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone (928) 772-3336

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Mar 22, 2024 Accepting new patients
Nextcare Arizona LLC CurrentSince Mar 22, 2024 Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: angela.pricefnp.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1477917342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26568",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863126568",
            "telephone_number": "928-778-1251",
            "fax_number": "928-778-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-772-2582",
            "fax_number": "928-772-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Indian Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370756214",
            "country_code": "US",
            "telephone_number": "615-826-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ANGELA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21026",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-STATE LICENSE",
            "identifier": "MSL165925TN",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE",
            "identifier": "AP11172",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.