Individual provider Active NPI

Angela Denise Lentz, FNP-BC

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1639576994
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6123 Issued in WI
Practice address
178 9TH St E Ste 300
Saint Paul, MN 55101-2577
Phone
(877) 440-1001
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001912 CA
Family Nurse Practitioner 363LF0000X C-RXN.0000486-C-NP CO
Family Nurse Practitioner 363LF0000X R46409 ND
Family Nurse Practitioner 363LF0000X A151649 IA
Family Nurse Practitioner 363LF0000X 5849 MN
Family Nurse Practitioner 363LF0000X 6123 WI Primary

Addresses

Primary practice location

178 9TH St E Ste 300
Saint Paul, MN 55101-2577

Mailing address

178 9TH St E Ste 300
Saint Paul, MN 55101-2577
Phone (877) 440-1001

Other practice location 1

2955 Triverton Pike Dr
Fitchburg, WI 53711-5807
Phone (608) 227-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20151119002559 WI Practitioner - Nurse Practitioner 0143520379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5849MNMDChiropractor
95001912CAMDFamily Nurse Practitioner
C-RXN.0000486-C-NPCOMDFamily Nurse Practitioner
A151649IAMDFamily Nurse Practitioner
R46409NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melius, Schurr & Cardwell CurrentSince Mar 13, 2017 Accepting new patients

Locations

2955 Triverton Pike Dr
Fitchburg, WI 53711
Phone (608) 227-7007

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1639576994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 9TH ST E STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012577",
            "telephone_number": "877-440-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 9TH ST E STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012577",
            "telephone_number": "877-440-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Triverton Pike Dr",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537115807",
            "country_code": "US",
            "telephone_number": "608-227-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001912",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-RXN.0000486-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R46409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A151649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.