Individual provider Active NPI

Angela Ruth Wiles, PMHNP-BC; FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewisburg, TN
National Provider Identifier
1689134157
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25566 Issued in TN
Practice address
122 E Commerce St
Lewisburg, TN 37091-3340
Phone
(615) 790-0567
Fax
(615) 595-8030
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 25566 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25566 TN Primary

Addresses

Primary practice location

122 E Commerce St
Lewisburg, TN 37091-3340

Mailing address

143 SE Parkway CT
Franklin, TN 37064-3968
Phone (615) 790-0567

Other practice location 1

143 SE Parkway Ct
Franklin, TN 37064-3968
Phone (615) 790-0567 ext. 272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210108002089 TN Practitioner - Nurse Practitioner 9830502905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Mercy Health Services, Inc.Group PAC ID 3971760133, 33 clinicians
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

122 E Commerce St
Lewisburg, TN 37091-3340
Phone (615) 790-0567

4323 Carothers Pkwy
Suite 505
Franklin, TN 37067-5920
Phone (615) 435-7780

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Services, Inc. CurrentSince Jan 3, 2023 Accepting new patients

Locations

1113 Murfreesboro Rd
Ste 319
Franklin, TN 37064
Phone 6157900567 ext. 229

143 SE Parkway Ct
Franklin, TN 37064
Phone (615) 547-2577

1113 Murfreesboro Rd
Ste 202
Franklin, TN 37064
Phone 6157900567 ext. 213

122 E Commerce St
Lewisburg, TN 37091
Phone (615) 814-3400

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1689134157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SE PARKWAY CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643968",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913340",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 SE Parkway Ct",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370643968",
            "country_code": "US",
            "telephone_number": "615-790-0567 x272",
            "fax_number": "615-595-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILES",
        "first_name": "ANGELA",
        "middle_name": "RUTH",
        "credential": "PMHNP-BC; FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25566",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.