Individual provider Active NPI

Angela Washington

  • Acute Care Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1790497659
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3018459 Issued in KY
Practice address
3151 Beaumont Centre Cir
Lexington, KY 40513-1959
Phone
(859) 410-6101
NPI assigned
Dec 21, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3018459 KY Primary

Addresses

Primary practice location

3151 Beaumont Centre Cir
Lexington, KY 40513-1959

Mailing address

3151 Beaumont Centre Cir
Lexington, KY 40513-1959
Phone (859) 410-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230428001658 KY Practitioner - Nurse Practitioner 1557726486 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
94.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
48.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018459KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Medical Practice PLLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 24, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Pearl Geriatrics and Palliative Medicine, PSC CurrentSince Jul 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 24, 2023 Accepting new patients
University Medical Center, Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2202 Buechel Ave
Ste 105
Louisville, KY 40218
Phone 50245604944010

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1790497659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 BEAUMONT CENTRE CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131959",
            "telephone_number": "859-410-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 BEAUMONT CENTRE CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131959",
            "telephone_number": "859-410-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3018459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.