Active NPI
Angela Suzanne Constant, FNP
- Family Nurse Practitioner
- Caruthersville, MO
National Provider Identifier
1508022211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 137502
- Practice address
- 108 W 15TH St
Caruthersville, MO 63830-2202 - Phone
- (573) 333-0033
- Fax
- (573) 333-2522
- NPI assigned
- Aug 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 137502 | MO | Primary |
Addresses
Primary practice location
108 W 15TH St
Caruthersville, MO 63830-2202
Mailing address
433 County Highway 553
Caruthersville, MO 63830-8174
Phone (573) 333-0033
Other practice location 1
412 Ward Ave
Caruthersville, MO 63830-1451
Phone (573) 333-0033
Other names 1
- Angie Constant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20090122000043 | MO | Practitioner - Nurse Practitioner | 3779647631 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
433 County Hwy 553
Caruthersville, MO 63830
Hospital & facility affiliations
- Visiting Nurse Association of Southeast Missouri, Inc
- Dyersburg Regional Medical Center
- Pemiscot County Memorial Hospital
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137502 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cane Ridge Emergency Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- aconstant18720@directepic.wth.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hayti, MO
- NPI 1437179710
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- Home Health Agency
- Kennett, MO
- NPI 1205828183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1508022211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 COUNTY HIGHWAY 553",
"city": "CARUTHERSVILLE",
"state": "MO",
"postal_code": "638308174",
"telephone_number": "573-333-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W 15TH ST",
"city": "CARUTHERSVILLE",
"state": "MO",
"postal_code": "638302202",
"telephone_number": "573-333-0033",
"fax_number": "573-333-2522"
}
],
"practiceLocations": [
{
"address_1": "412 Ward Ave",
"address_purpose": "LOCATION",
"city": "Caruthersville",
"state": "MO",
"postal_code": "638301451",
"country_code": "US",
"telephone_number": "573-333-0033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONSTANT",
"first_name": "ANGELA",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "137502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGIE",
"last_name": "CONSTANT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Caruthersville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.