Individual provider Active NPI

Angela Kay Wright, APRN, FNP-BC

  • Family Nurse Practitioner
  • Perryville, MO
National Provider Identifier
1598316564
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019036885 Issued in MO
Practice address
1314 Brenda Ave
Perryville, MO 63775-2303
Phone
(573) 517-0405
NPI assigned
Sep 21, 2019
Last updated
Sep 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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 2019036885 MO Primary

Addresses

Primary practice location

1314 Brenda Ave
Perryville, MO 63775-2303

Mailing address

161 Wisteria LN
Scott City, MO 63780-1123
Phone (573) 587-0285

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030000876 MO Practitioner - Nurse Practitioner 4688906373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Trails Medical CenterGroup PAC ID 8820902851, 9 clinicians

Practice addresses (Care Compare)

408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Trails Medical Center CurrentSince Sep 24, 2019 Accepting new patients
Cross Trails Medical Center CurrentSince Sep 24, 2019 Accepting new patients
Cross Trails Medical Center Past Accepting new patients

Locations

408 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 332-0808

1314 Brenda Ave
Perryville, MO 63775
Phone (573) 332-0808

Organizations & group practices 3

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 4

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": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1598316564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WISTERIA LN",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637801123",
            "telephone_number": "573-587-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 BRENDA AVE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752303",
            "telephone_number": "573-517-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019036885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

Verify at the official NPI Registry.