Angela M. Bogart, APRN-C
Individual provider Active NPI Nurse Practitioner · Salina, KS
NPI 1639135486 · NPPES record last updated May 25, 2015
Key facts
- NPI
- 1639135486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-45729 (KS)
- Practice address
- 501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189 - Phone
- (785) 452-7562
- Fax
- (785) 452-7105
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Salina Regional Health Center Inc
Practice addresses (Care Compare)
400 S Santa Fe Ave
Salina, KS 67401-4144
501 S Santa Fe Ave
Salina, KS 67401-4106
501 S Santa Fe Ave
Salina, KS 67401-4189
Hospital & facility affiliations
- Salina Regional Health Center
- Memorial Hospital
- Mitchell County Hospital Health Systems
- Ellsworth County Medical Center
- Cloud County Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.42 of 100
- Quality
- 79.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050908001061 | KS | Practitioner - Nurse Practitioner | 0547292666 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-45729 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salina Regional Health Center Inc | Current |
Accepting new patients | |
| Salina Regional Health Center, Inc | Current |
Accepting new patients | |
| Comcare, P.a | Past | Accepting new patients | |
| Comcare, P.a. | Past | Accepting new patients |
Locations
501 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 452-7245
1001 S Ohio St
Salina, KS 67401
Phone (785) 823-6453
501 S Santa Fe Ave
Ste 380
Salina, KS 67401
Phone (785) 452-6492
617 E Elm St
Salina, KS 67401
Phone (785) 825-6224
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
Interoperability endpoints
- angela.bogart@srhcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-45729 | KS | Yes |
Addresses
Primary practice location
501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Mailing address
501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone (785) 452-7269
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200333450C | Medicaid | KS |
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.