Individual provider Active NPI

Angelina Nicole-Marie Denton-Howell, FNP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1760106868
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022039077 Issued in MO
Practice address
2115 S Fremont Ave Ste 3300
Springfield, MO 65804-2246
Phone
(417) 820-5200
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022039077 MO Primary

Addresses

Primary practice location

2115 S Fremont Ave Ste 3300
Springfield, MO 65804-2246

Mailing address

2115 S Fremont Ave Ste 3300
Springfield, MO 65804-2246
Phone (417) 820-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20221222002488 MO Practitioner - Nurse Practitioner 4082084603 Reassigns benefits to 1 organization
I20240831000542 AR Practitioner - Nurse Practitioner 4082084603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Enterprises, LLCGroup PAC ID 3476945528, 16 clinicians

Practice addresses (Care Compare)

15 Green Valley Dr
Suite 100
Mountain Home, AR 72653-8102
Phone (870) 701-4090

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022039077MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Regional Enterprises, LLC CurrentSince Aug 8, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 1, 2023 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Aug 8, 2024 Accepting new patients
Baxter Regional Enterprises, LLC Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

628 Hospital Dr
Ste 112
Mountain Home, AR 72653
Phone (870) 425-8288

15 Green Valley Dr
#100
Mountain Home, AR 72653
Phone (870) 701-0490

448 State Highway 248
Ste 180
Branson, MO 65616
Phone (417) 820-2064

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

Interoperability endpoints

  • Direct secure messaging: angelina.dentonhowell@bhcawp.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1760106868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 3300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042246",
            "telephone_number": "417-820-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 3300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042246",
            "telephone_number": "417-820-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON-HOWELL",
        "first_name": "ANGELINA",
        "middle_name": "NICOLE-MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022039077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.