Individual provider Active NPI

Angela Marie Rogers, FNP-C

  • Occupational Medicine Physician
  • Sidney, OH
National Provider Identifier
1669996963
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
APRN.CNP.021340 Issued in OH
Practice address
915 Michigan St
Sidney, OH 45365-2401
Phone
(937) 498-2311
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.021340 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.021340 OH
Occupational Medicine Physician 2083X0100X APRN.CNP.021340 OH Primary

Addresses

Primary practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

09882 Ashburn Rd
Wapakoneta, OH 45895-8761
Phone (937) 538-1884

Other names 1

  • Angela Marie Tharp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181010003843 OH Practitioner - Nurse Practitioner 1052663531 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation CurrentSince Jun 10, 2019 Accepting new patients
At Your Door Visiting Healthcare Services, LLC Family CurrentSince Aug 29, 2019 Accepting new patients
Angela Rogers Family Practice CurrentSince Jan 12, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

1134 Hager St
Saint Marys, OH 45885
Phone (419) 300-1077

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAJHDD/Endpoint/FAJHDD

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wissam Khoury DPM LLC 13 clinicians

Practice addresses (Care Compare)

2475 E 22ND St
Suite 120
Cleveland, OH 44115-3221
Phone (216) 367-9444

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1669996963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "09882 ASHBURN RD",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458958761",
            "telephone_number": "937-538-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021340",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.021340",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "APRN.CNP.021340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "THARP",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.