Individual provider Active NPI

Angela Hutcheson-Smith, APRN

  • Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1639750433
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11012916 Issued in FL
Practice address
12120 Cortez Blvd
Brooksville, FL 34613-5514
Phone
(352) 559-8849
Fax
(352) 559-8872
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9386496 FL
Nurse Practitioner 363L00000X 11012916 FL Primary

Addresses

Primary practice location

12120 Cortez Blvd
Brooksville, FL 34613-5514

Mailing address

12120 Cortez Blvd
Brooksville, FL 34613-5514
Phone (352) 559-8849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220118002615 FL Practitioner - Nurse Practitioner 6507258894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunstate Healthcare LLCGroup PAC ID 7113210444, 6 clinicians

Practice addresses (Care Compare)

12120 Cortez Blvd
Brooksville, FL 34613-5514
Phone (352) 559-8849

Hospital & facility affiliations

  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9386496FLMDRegistered Nurse
11012916FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstate Healthcare LLC CurrentSince Oct 28, 2021 Accepting new patients

Locations

12120 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 559-8849

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 2

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1639750433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135514",
            "telephone_number": "352-559-8849",
            "fax_number": "352-559-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135514",
            "telephone_number": "352-559-8849",
            "fax_number": "352-559-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON-SMITH",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9386496",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.