Individual provider Active NPI

Angela M. Pollock, FNP

  • Family Nurse Practitioner
  • Smyrna, DE
National Provider Identifier
1760816656
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000659 Issued in DE
Practice address
100 S. Main Street, Suite 101
Smyrna Health & Wellness Center
Smyrna, DE 19977-1478
Phone
(302) 659-4444
Fax
(302) 659-4495
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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 AC001185 MD
Family Nurse Practitioner 363LF0000X LG-0000659 DE Primary

Addresses

Primary practice location

100 S. Main Street, Suite 101
Smyrna Health & Wellness Center
Smyrna, DE 19977-1478

Mailing address

200 Hygeia Drive, Suite 2300
CCHS Physician Contracting
Newark, DE 19713-2049

Other names 1

  • Angela Biddle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20151130001092 DE Practitioner - Nurse Practitioner 6305155664 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000659DEMDFamily Nurse Practitioner
AC001185MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners CurrentSince Feb 15, 2020 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
MNR Industries LLC Past Accepting new patients

Locations

200 Banning St
Ste 170
Dover, DE 19904
Phone (302) 674-1999

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

100 S Main St
Ste 101
Smyrna, DE 19977
Phone (302) 623-7424

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

Organizations & group practices 3

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1760816656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DRIVE, SUITE 2300",
            "address_2": "CCHS PHYSICIAN CONTRACTING",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. MAIN STREET, SUITE 101",
            "address_2": "SMYRNA HEALTH & WELLNESS CENTER",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771478",
            "telephone_number": "302-659-4444",
            "fax_number": "302-659-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BIDDLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.