Angela Cool Bedwell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174641 Issued in VA

Practice address

5251 Concourse Dr
Roanoke, VA 24019

Phone

(540) 904-2817

Fax

(540) 682-5946

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Awaken, PLLC

  • Clinic/Center
  • Roanoke, VA
  • NPI 1619657160
  NPD Authorized official
• Innovage Virginia Pace - Roanoke Valley, LLC

  • PACE Provider Organization
  • Roanoke, VA
  • NPI 1346684974
  NPD (past)
• Doug Hassenpflug PLLC

  • Optometrist
  • Brentwood, TN
  • NPI 1285072207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1780115089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BRICK CHURCH RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241514052",
            "telephone_number": "540-525-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 CONCOURSE DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24019",
            "telephone_number": "540-904-2817",
            "fax_number": "540-682-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5261 Carrollton Pike",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Woodlawn",
            "state": "VA",
            "postal_code": "243813034",
            "country_code": "US",
            "telephone_number": "276-601-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "ANGELA",
        "middle_name": "COOL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mae Beckler, OTR/L
• Dustin Beckner, CF-SLP
• Kelly D Beckner, M.S. CCC-SLP
• Loren Beckner
• Olive Bediako, CSAC SUPERVISEE
• Lucius Courtenay Beebe Sr., MD
• Jena Beecher, SLP
• Laura Beeken
• Suzanne Hollen Beels, MSN, RN, AGCNS-BC
• Alison Colleen Begay, APRN, FNP-C

• Family Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.