Angela Mary McCulley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 04212 Issued in TX

Practice address

921 Lakeview Blvd
New Braunfels, TX 78130-4135

Phone

(830) 620-7744

Fax

(830) 625-0353

NPI assigned

Nov 21, 2006

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.mcculley@210174504075268.direct.elationemr.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.

• Metro Visiting Physician PLLC

  • Dermatology Physician
  • Arlington, TX
  • NPI 1558618744
  NPD
• Hope Hospice

  • Community Based Hospice Care Agency
  • New Braunfels, TX
  • NPI 1982765244
  NPD (past)
• Hope Palliative Services

  • Pain Medicine Physician
  • New Braunfels, TX
  • NPI 1063505899
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821163627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CROWN BRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602485",
            "telephone_number": "210-887-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LAKEVIEW BLVD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304135",
            "telephone_number": "830-620-7744",
            "fax_number": "830-625-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "ANGELA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA 04212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
• Anna Lee McCraney, AU.D.
• Terri Weir McCrary, M.A. CCC-SLP
• Heather Marie McCreery
• Heather E McCrocklin, PTA
• Sarah Elizabeth McCutchen, DDS
• Lauren McDavitt
• Chasity Lynn McDonald-Rocha, FNP
• Juliana McDonald
• Mollie Ann McDonnold, MD

• Medical Physician Assistant in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.