Individual provider Active NPI

Angelia L. Felton-Wilks, APNP, FNPC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1669720041
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6697-33 Issued in WI
Practice address
7235 W Appleton Ave Ste 2
Milwaukee, WI 53216-1932
Phone
(414) 312-8683
Fax
(414) 488-8152
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 669733 WI
Family Nurse Practitioner 363LF0000X 6697-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 669733 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6697-33 WI Primary

Addresses

Primary practice location

7235 W Appleton Ave Ste 2
Milwaukee, WI 53216-1932

Mailing address

7235 W Appleton Ave Ste 2
Milwaukee, WI 53216-1932
Phone (414) 312-8683

Other identifiers 1

IdentifierTypeStateIssuer
1669720041MedicaidWI

Other names 1

  • Mrs. Angelia L. Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160127000641 WI Practitioner - Nurse Practitioner 5395048268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Services Group Inc.Group PAC ID 8224296454, 22 clinicians

Practice addresses (Care Compare)

2108 63Rd St
Kenosha, WI 53143-4454
Phone (262) 652-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
6697-33WIMDFamily Nurse Practitioner
669733WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Healthcare, Inc CurrentSince Jul 1, 2024 Accepting new patients
Professional Services Group, Inc. CurrentSince Jun 28, 2024 Accepting new patients
Afw Psychiatric and Mental Health Solutions LLC Family CurrentSince May 28, 2022 Accepting new patients

Locations

2108 63rd St
Kenosha, WI 53143

6233 39th Ave
Kenosha, WI 53142
Phone (262) 654-1004

5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520

7235 W Appleton Ave
Milwaukee, WI 53216
Phone (414) 434-8517

4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144

7235 W Appleton Ave
Ste 2
Milwaukee, WI 53216
Phone (414) 312-8683

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26204/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1669720041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 W APPLETON AVE STE 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-312-8683",
            "fax_number": "414-488-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 W APPLETON AVE STE 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-312-8683",
            "fax_number": "414-488-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON-WILKS",
        "first_name": "ANGELIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "APNP, FNPC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "669733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6697-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "669733",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "6697-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669720041",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIA",
            "last_name": "SMITH",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "RN, BSN, MSN, APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.