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Individual provider Active NPI

Angela McLaughlin

  • Family Medicine Physician
  • Wayne, NE
National Provider Identifier
1730599762
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1692 Issued in NE
Practice address
615 E 14TH St
Wayne, NE 68787
Phone
(402) 375-2500
NPI assigned
Apr 29, 2014
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 1692 NE Primary

Addresses

Primary practice location

615 E 14TH St
Wayne, NE 68787

Mailing address

615 E 14TH St
Wayne, NE 68787-1152
Phone (402) 375-2500

Other practice location 1

4200 Douglas St
Omaha, NE 68131-2705
Phone (402) 552-2050

Other identifiers 1

IdentifierTypeStateIssuer
1692OtherNESTATE OF NEBRASKA HEALTH AND HUMAN SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802001869 NE Practitioner - Family PracticePractitioner - Emergency Medicine 0042432171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

615 E 14TH St
FRPS Wayne Family Medicine
Wayne, NE 68787-1152
Phone (402) 375-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions28
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7294NEMDDentist
1692NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Providence Medical Center CurrentSince Aug 1, 2017 Accepting new patients
The Nebraska Medical Center Past Accepting new patients

Locations

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1730599762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 14TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871152",
            "telephone_number": "402-375-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 14TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "68787",
            "telephone_number": "402-375-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Douglas St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312705",
            "country_code": "US",
            "telephone_number": "402-552-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA HEALTH AND HUMAN SERVICES",
            "identifier": "1692",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

Verify at the official NPI Registry.