Individual provider Active NPI

Angela Rose Trela, FNP

  • Family Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1508748880
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356959 Issued in NY
Practice address
87 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone
(518) 536-7060
Fax
(518) 536-7075
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 356959 NY Primary

Addresses

Primary practice location

87 Plaza Blvd
Plattsburgh, NY 12901-6438

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other names 1

  • Angela Rose Blackman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.trela.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251014001082 NY Practitioner - Nurse Practitioner 4880181924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

87 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone (518) 536-7060

Hospital & facility affiliations

  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
356959NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Oct 13, 2025 Accepting new patients
Hudson Headwaters Health Network Current Accepting new patients
Hudson Headwaters Health Network CurrentSince Oct 13, 2025 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

87 Plaza Blvd
Plattsburgh, NY 12901
Phone (518) 536-7060

9 Carey Rd
Queensbury, NY 12804

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 and National Provider Directory roles.

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1508748880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 PLAZA BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016438",
            "telephone_number": "518-536-7060",
            "fax_number": "518-536-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELA",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.trela.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "87 Plaza Blvd",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129016438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BLACKMAN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.