Individual provider Active NPI

Angela Acree

  • Family Nurse Practitioner
  • Cadiz, KY
National Provider Identifier
1487324836
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016688 Issued in KY
Practice address
254 Main St
Cadiz, KY 42211-9153
Phone
(270) 522-6574
Fax
(270) 512-0948
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 3016688 KY Primary

Addresses

Primary practice location

254 Main St
Cadiz, KY 42211-9153

Mailing address

254 Main St
Cadiz, KY 42211-9153

Other identifiers 1

IdentifierTypeStateIssuer
7100795700MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220125001170 KY Practitioner - Nurse Practitioner 3577955541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians

Practice addresses (Care Compare)

110 Merchant St
Cadiz, KY 42211-9797
Phone (270) 522-3215

Hospital & facility affiliations

  • Trigg County Hospital Hospital, Cadiz, KY, CCN 181304
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Caldwell Medical Center Hospital, Princeton, KY, CCN 181322
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
73.34
Promoting interoperability
100
Improvement activities
40
Cost
73.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc Nurse Practitioner CurrentSince Jun 10, 2024 Accepting new patients
Trigg County Hospital, Inc CurrentSince Jun 10, 2024 Accepting new patients

Locations

110 Merchant St
Cadiz, KY 42211
Phone (270) 522-3215

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

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 4

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1487324836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119153",
            "telephone_number": "270-522-6574",
            "fax_number": "270-512-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACREE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100795700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, KY

Sources for this page

Verify at the official NPI Registry.