Individual provider Active NPI

Angela Sitz Patterson, APN

  • Family Nurse Practitioner
  • Manchester, TN
National Provider Identifier
1821094111
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN7706 Issued in TN
Practice address
2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone
(931) 728-5607
Fax
(931) 728-8354
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 7706 TN
Family Nurse Practitioner 363LF0000X APN7706 TN Primary

Addresses

Primary practice location

2345 Murfreesboro Hwy
Manchester, TN 37355-3206

Mailing address

PO Box 299
Manchester, TN 37349-0299
Phone (931) 728-5607

Other identifiers 2

IdentifierTypeStateIssuer
3726350MedicaidTN
3909523OtherTNMEDICARE ID

Other names 1

  • Mrs. Angela Sitz Ladd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040925000063 TN Practitioner - Nurse Practitioner 9133198385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James R Nunley DO PCGroup PAC ID 3870405228, 8 clinicians

Practice addresses (Care Compare)

2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone (931) 728-5607

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Merit-based Incentive Payment System (MIPS)

Final score
64.71 of 100Reported as group
Quality
0
Promoting interoperability
99
Improvement activities
40
Cost
77.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7706TNMDMental Health Counselor
APN7706TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Express Care, LLC Family CurrentSince Jan 1, 2013 Accepting new patients
James R. Nunley D.O., P.C. CurrentSince Sep 1, 2022 Accepting new patients
Tullahoma Hma LLC PastSince Jan 1, 2013 Accepting new patients

Locations

1856 Decherd Blvd
Decherd, TN 37324
Phone (931) 962-4082

2345 Murfreesboro Hwy
Manchester, TN 37355
Phone (931) 728-5479

1211 Dinah Shore Blvd
Winchester, TN 37398
Phone (931) 967-6669

Interoperability endpoints

  • Direct secure messaging: angela.patterson.2@3329.direct.athenahealth.com

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.

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1821094111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490299",
            "telephone_number": "931-728-5607",
            "fax_number": "931-728-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MURFREESBORO HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553206",
            "telephone_number": "931-728-5607",
            "fax_number": "931-728-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ANGELA",
        "middle_name": "SITZ",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726350",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "3909523",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LADD",
            "middle_name": "SITZ",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.