Angela D. Stephens, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04285 Issued in TX

Practice address

5902 66TH St
Lubbock, TX 79424-3048

Phone

(806) 797-2139

Fax

(806) 797-3105

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Roger J. Wolcott, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Lubbock, TX
  • NPI 1356521892
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1528039807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16626",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906626",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243048",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4321 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072504",
            "country_code": "US",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Brooke Stegall, OTR
• Alicia Steiger, LMSW
• Taylor Katelyn Steinle, COTA
• Katarzyna Maria Stelmach, PHARM.D.
• Amanda Alaine Stephens
• Christopher Stephens
• Heather Nicole Stephens
• Kenneth A Stephenson, MD
• Matthew C Stephenson, DDS
• Victoria Stephenson

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.