Angel J Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN56238NP Issued in WV

Practice address

859 Days Dr
Sutton, WV 26601-6255

Phone

(304) 765-2861

NPI assigned

Aug 4, 2015

Last updated

Jan 5, 2022By the provider in NPPES

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 WV, MD, IN, OH, DC, VA, PA7 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 7

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Lifetree Medical Services LLCGroup PAC ID 8426314667, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angel.johnson@cog-wv.directbygreenway.com

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.

• Lifetree Medical Services, LLC

  • Nurse Practitioner
  • Danville, WV
  • NPI 1487178331
  Medicare reassignment Care Compare group NPD
• Post Acute Telehealth PC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1164011185

  DC, IN, MD, PA, VA, WV

  Medicare reassignment Care Compare group
• Stonerise Services, LLC

  • Nurse Practitioner
  • Charleston, WV
  • NPI 1558743849

  Family

  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Care Compare affiliation

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1811373632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "COWEN",
            "state": "WV",
            "postal_code": "262060953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 DAYS DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266016255",
            "telephone_number": "304-765-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 S Semoran Blvd Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327925313",
            "country_code": "US",
            "telephone_number": "407-966-2113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1053 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Ivydale",
            "state": "WV",
            "postal_code": "251138266",
            "country_code": "US",
            "telephone_number": "304-286-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4089 Webster Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266517200",
            "country_code": "US",
            "telephone_number": "681-355-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGEL",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN56238NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Marie Jeffries
• Danielle Jacklynn Jenkins
• Brenda Jennings
• Rebecca Jett
• Savannah Johns
• Courtney Paige Johnson
• Serena Johnson
• Gloria Faye Jones
• Lisa Jones
• Marica Jones

• Family Nurse Practitioner in Sutton, WV
• Providers in Sutton, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.