Angela M Pruden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22631 Issued in NE

Practice address

1400 N 9TH St Ste B
Norfolk, NE 68701-2499

Phone

(402) 370-1400

Fax

(402) 685-2885

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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 NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

University of Nebraska College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest OB/GYN Clinic, PCGroup PAC ID 9133014764, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Midwest OB/GYN Clinic, PC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1538189857
  Medicare reassignment Care Compare group NPD
• Broken Bow Clinic PC

  • Family Medicine Physician
  • Broken Bow, NE
  • NPI 1528151651
  NPD (past)
• Central Nebraska Medical Clinic PC

  • Family Medicine Physician
  • Broken Bow, NE
  • NPI 1578668232
  NPD (past)
• Central Nebraska Medical Clinic, P.C.

  • Family Medicine Physician
  • Ansley, NE
  • NPI 1841312584
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Faith Regional Health Services

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1588757629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N 9TH ST STE B",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012499",
            "telephone_number": "402-370-1400",
            "fax_number": "402-685-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N 9TH ST STE B",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012499",
            "telephone_number": "402-370-1400",
            "fax_number": "402-685-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDEN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-07-05",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Prinz, PA-C
• Hannah Pritchett
• Madelyn Prochaska
• Kimberly Proctor
• Kristy Proctor
• Susan Pryor-Johnson, M.S.E., LIMHP, LADC
• Lan Lin Pu, MPT
• Daniel Alberto Puebla Neira, M.D.
• Alexa Pulido
• Kelly Jo Pulley

• Family Medicine Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.

Verify at the official NPI Registry.