Individual provider Active NPI

Angela Rogers

  • Family Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1780185264
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029367 Issued in TX
Practice address
830 Kohlers Xing Ste 100
Kyle, TX 78640-2473
Phone
(512) 268-2613
Fax
(512) 268-2615
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 1029367 TX Primary
Registered Nurse 163W00000X 738435 TX

Addresses

Primary practice location

830 Kohlers Xing Ste 100
Kyle, TX 78640-2473

Mailing address

830 Kohlers Xing Ste 100
Kyle, TX 78640-2473
Phone (512) 268-2613

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arogers1126516@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220926002163 TX Practitioner - Nurse Practitioner 0345626578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

830 Kohlers Xing
Suite 100
Kyle, TX 78640-2473
Phone (512) 268-2613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
738435TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Sep 14, 2022 Accepting new patients
Scott & White Clinic CurrentSince Sep 14, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Mar 3, 2025 Accepting new patients
Wellmed Medical Group, PA CurrentSince Mar 3, 2025 Accepting new patients
Scott & White Clinic Current Accepting new patients
Greater Killeen Free Clinic PastSince Jun 1, 2021 Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

830 Kohlers Xing
Ste 100
Kyle, TX 78640
Phone (512) 268-2613

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

1605 S 31st St
Temple, TX 76504
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: arogers1126516@direct.sw.org
  • Direct secure messaging: angela.rogers@wellmed.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.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1780185264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KOHLERS XING STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402473",
            "telephone_number": "512-268-2613",
            "fax_number": "512-268-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KOHLERS XING STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402473",
            "telephone_number": "512-268-2613",
            "fax_number": "512-268-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029367",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "738435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arogers1126516@direct.sw.org",
            "affiliation": "N",
            "address_1": "1605 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765084709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.