Individual provider Active NPI

Angela D Bunner, FNP

  • Family Nurse Practitioner
  • Rockport, IN
National Provider Identifier
1669718169
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004323A Issued in IN
Practice address
541A Main St
Rockport, IN 47635-1429
Phone
(812) 618-1128
Fax
(812) 618-3081
NPI assigned
Jan 2, 2013
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004323A IN Primary
Family Nurse Practitioner 363LF0000X 3007915 KY

Addresses

Primary practice location

541A Main St
Rockport, IN 47635-1429

Mailing address

PO Box 304
Rockport, IN 47635-0304
Phone (812) 618-1128

Other practice location 1

500 N Main St
Beaver Dam, KY 42320-1949
Phone (812) 618-1128

Other names 1

  • Angela D Shepherd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130503000431 IN Practitioner - Nurse Practitioner 1254578545 Reassigns benefits to 1 organization
I20130610000065 KY Practitioner - Nurse Practitioner 1254578545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapha HealthcareGroup PAC ID 3779945274, 4 clinicians

Practice addresses (Care Compare)

500 N Main St
Beaver Dam, KY 42320-1949
Phone (812) 618-1128

541 A Main St
Rockport, IN 47635-1429
Phone (812) 618-1128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007915KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Healthcare Family CurrentSince Aug 22, 2023 Accepting new patients
University of Washington PastSince May 7, 2024 Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

541 Main St
#A
Rockport, IN 47635
Phone (812) 618-1128

500 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9224

Interoperability endpoints

  • Direct secure messaging: angela.bunner@ocfch.eclinicaldirectplus.com

Organizations & group practices 3

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1669718169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476350304",
            "telephone_number": "812-618-1128",
            "fax_number": "812-618-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541A MAIN ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351429",
            "telephone_number": "812-618-1128",
            "fax_number": "812-618-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423201949",
            "country_code": "US",
            "telephone_number": "812-618-1128",
            "fax_number": "812-618-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNNER",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004323A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SHEPHERD",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockport, IN

Sources for this page

Verify at the official NPI Registry.