Individual provider Active NPI

Angela Lynn Patterson, NP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1528729993
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12210039 Issued in FL
Practice address
311 3Rd Ave E
Bradenton, FL 34208-1014
Phone
(941) 708-3385
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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 F12210039 FL Primary

Addresses

Primary practice location

311 3Rd Ave E
Bradenton, FL 34208-1014

Mailing address

25115 State Road 64 E
Myakka City, FL 34251-8026
Phone (941) 224-2846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230711001077 FL Practitioner - Nurse Practitioner 0648639542 Reassigns benefits to 1 organization

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
Cooper Family Medical PLLCGroup PAC ID 9931171782, 19 clinicians

Practice addresses (Care Compare)

5123 4TH Ave Cir E
Bradenton, FL 34208-5620
Phone (941) 744-5510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12210039FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medical PLLC CurrentSince May 20, 2023 Accepting new patients

Locations

5123 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 744-5510

Interoperability endpoints

  • Direct secure messaging: angela.patterson.1@26999.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26999/brand/2/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1528729993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 STATE ROAD 64 E",
            "city": "MYAKKA CITY",
            "state": "FL",
            "postal_code": "342518026",
            "telephone_number": "941-224-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081014",
            "telephone_number": "941-708-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F12210039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.