Active NPI
Angela White, NP
- Nurse Practitioner
- Lawrenceburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71006628A
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71006628A | Other | IN | LICENSE |
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
Enrollment records 1
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
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 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006628A | IN | MD | Nurse Practitioner |
| RN.368468 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Summit Medical Group, Inc | Nurse Practitioner | Current | 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
- 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.
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
IN, Nurse Practitioner
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Nurse Practitioner
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Prosthetic/Orthotic Supplier
- Lawrenceburg, IN
- NPI 1033417829
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
-
dba St. Elizabeth Home Care
- Home Health Agency
- Lawrenceburg, IN
- NPI 1437756822
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.