Active NPI
Angela Sue Davis, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Terre Haute, IN
National Provider Identifier
1700696754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 28131991A
- Practice address
- 185 Hospital LN
Terre Haute, IN 47802-4247 - Phone
- (812) 841-9688
- Fax
- (812) 605-5013
- NPI assigned
- Jan 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28131991A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28131991A | IN | Primary |
Addresses
Primary practice location
185 Hospital LN
Terre Haute, IN 47802-4247
Mailing address
185 Hospital LN
Terre Haute, IN 47802-4247
Phone (812) 243-9954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250402001576 | IN | Practitioner - Nurse Practitioner | 1951824721 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Counseling Pathways LLC
Practice addresses (Care Compare)
185 Hospital LN
Terre Haute, IN 47802-4247
Phone (812) 243-9954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28131991A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Mobile MD Psychiatric Services LLC | Current | Accepting new patients | |
| Counseling Pathways LLC | Current | Accepting new patients |
Locations
429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290
185 Hospital Ln
Terre Haute, IN 47802
Phone (812) 243-2507
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1700696754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 HOSPITAL LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024247",
"telephone_number": "812-243-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 HOSPITAL LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024247",
"telephone_number": "812-841-9688",
"fax_number": "812-605-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANGELA",
"middle_name": "SUE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-11",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28131991A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "28131991A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.