Angelica Anderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4026321 Issued in KY

Practice address

105 Village Way
Lebanon, KY 40033-1845

Phone

(731) 394-1145

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Health LLC 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spring View Hospital Hospital, Lebanon, KY, CCN 180024
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

• Ultra Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  KY

  Medicare reassignment Care Compare group NPD
• One Cross Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Campbellsville, KY
  • NPI 1447710314

  KY

  Medicare reassignment NPD
• One Cross Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lebanon, KY
  • NPI 1215404082
  NPD
• One Cross Health Clinic Inc

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1942606454
  NPD (past)

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

• Spring View Hospital LLC

  • Rural Acute Care Hospital
  • Lebanon, KY
  • NPI 1780746420

  Hospital

  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1619709078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 CLELL MATTINGLY RD",
            "city": "RAYWICK",
            "state": "KY",
            "postal_code": "400607573",
            "telephone_number": "270-295-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VILLAGE WAY",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331845",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4026321",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4026321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bandy Abell, PT, DPT, OCS
• Mark A Ackermann, M.D.
• John Barry Adams Sr., R. PH
• Air Evac EMS, Inc.
• Alternative Health Solutions
• Emmanuel Awah
• Daniel Earl Bailey Jr., M.D.
• Cheryl L Baker, MD
• Cody Evan Baker, TCADC
• Amanda M Ballard, OD

• All providers in Lebanon, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.