Individual provider Active NPI

Angela White, NP

  • Nurse Practitioner
  • Lawrenceburg, IN
National Provider Identifier
1659829240
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71006628A Issued in IN
Practice address
2018 Jamison Drive
Lawrenceburg, IN 47025-8436
Phone
(812) 496-8773
Fax
(812) 637-1103
NPI assigned
Sep 13, 2016
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN.368468 OH
Family Nurse Practitioner 363LF0000X 71006628A IN
Nurse Practitioner 363L00000X 71006628A IN Primary

Addresses

Primary practice location

2018 Jamison Drive
Lawrenceburg, IN 47025-8436

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Other practice location 1

24129 Professional Park Dr
Lawrenceburg, IN 47025-7603
Phone (812) 496-8773

Other identifiers 1

IdentifierTypeStateIssuer
71006628AOtherINLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20161018000915 IN Practitioner - Nurse Practitioner 4486942828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006628AINMDNurse Practitioner
RN.368468OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Nov 23, 2020 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner Current Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Nov 23, 2020 Accepting new patients
Health Services Corporation of Southeastern Indiana Past Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

2018 Jamison Dr
Lawrenceburg, IN 47025
Phone (812) 496-8773

24129 Professional Park Dr
Lawrenceburg, IN 47025
Phone (812) 496-8773

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

605 Wilson Creek Rd
Ste 101
Lawrenceburg, IN 47025
Phone (812) 532-2608

230 6th St
Rising Sun, IN 47040
Phone (812) 438-2555

1037 W Main St
Vevay, IN 47043
Phone (812) 427-2737

Interoperability endpoints

  • Direct secure messaging: awhite333906@direct-prd.stelizabeth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1659829240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 JAMISON DRIVE",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470258436",
            "telephone_number": "812-496-8773",
            "fax_number": "812-637-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24129 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470257603",
            "country_code": "US",
            "telephone_number": "812-496-8773",
            "fax_number": "812-637-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.368468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006628A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006628A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71006628A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.