Individual provider Active NPI

Angela Willis Penland, MSN FNP-C

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1700427986
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012333 Issued in NC
Practice address
3 S Tunnel Rd Ste a-07
Asheville, NC 28805-2557
Phone
(828) 298-0125
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012333 NC Primary

Addresses

Primary practice location

3 S Tunnel Rd Ste a-07
Asheville, NC 28805-2557

Mailing address

3114 E Burma Rd
Nebo, NC 28761-8718
Phone (828) 652-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 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
I20221214000945 TX Practitioner - Nurse Practitioner 3779952759 Reassigns benefits to 1 organization
I20241011004001 NC Practitioner - Nurse Practitioner 3779952759 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Indian Hospital Authority CurrentSince Jan 25, 2024 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Jul 20, 2024 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Jul 20, 2024 Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

1201 Patton Ave
Asheville, NC 28806
Phone (828) 252-4878

Organizations & group practices 5

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1700427986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 E BURMA RD",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287618718",
            "telephone_number": "828-652-0047",
            "fax_number": "828-652-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S TUNNEL RD STE A-07",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052557",
            "telephone_number": "828-298-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLAND",
        "first_name": "ANGELA",
        "middle_name": "WILLIS",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.