Individual provider Active NPI

Angela L Powell

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1659073476
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022061300 Issued in TX
Practice address
4714 FM 1488 Rd Ste 132
Conroe, TX 77384-4930
Phone
(877) 868-2528
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 2022061300 TX Primary

Addresses

Primary practice location

4714 FM 1488 Rd Ste 132
Conroe, TX 77384-4930

Mailing address

PO Box 2328
Frisco, TX 75034-0043
Phone (469) 469-3599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230424001841 TX Practitioner - Nurse Practitioner 0244695419 Reassigns benefits to 2 organizations

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
Specialty Infusion LLCGroup PAC ID 9931532116, 29 clinicians

Practice addresses (Care Compare)

1643 Lancaster Dr
Suite 305
Grapevine, TX 76051-3593
Phone (888) 339-0906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022061300TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care 2 U, LLC CurrentSince Apr 10, 2023 Accepting new patients
Specialty Infusion LLC CurrentSince May 1, 2025 Accepting new patients

Locations

977 Raintree Cir
Allen, TX 75013

4714 FM 1488 Rd
Ste 132
Conroe, TX 77384
Phone (877) 868-2528

12230 Coit Rd
Ste 120
Dallas, TX 75251
Phone (972) 490-9500

1643 Lancaster Dr
Ste 305
Grapevine, TX 76051
Phone (817) 410-2030

4375 Booth Calloway Rd
Ste 510
North Richland Hills, TX 76180

4801 Troup Hwy
Ste 301
Tyler, TX 75703
Phone (903) 595-3220

1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527

Organizations & group practices 2

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1659073476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2328",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340043",
            "telephone_number": "469-469-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 FM 1488 RD STE 132",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844930",
            "telephone_number": "877-868-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2022061300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.