Individual provider Active NPI

Angela Clark Gill, FNP-C

  • Family Nurse Practitioner
  • Rayville, LA
National Provider Identifier
1821352535
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06862 Issued in LA
Practice address
256 Highway 3048
Rayville, LA 71269-3624
Phone
(318) 728-2046
Fax
(318) 728-9371
NPI assigned
Jun 27, 2012
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06862 LA Primary

Addresses

Primary practice location

256 Highway 3048
Rayville, LA 71269-3624

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

Other practice location 1

5975 Federal 80 Hwy
Rayville, LA 71269-7750
Phone (318) 728-4368

Other identifiers 1

IdentifierTypeStateIssuer
2314416MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120727000192 LA Practitioner - Nurse Practitioner 8022274570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

254 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-4181

256 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-2046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06862LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC Current Accepting new patients
Richland Parish Hospital Service District No 1-B Family CurrentSince May 1, 2017 Accepting new patients
Richland Parish Hospital Service District No. 1-B CurrentSince May 1, 2017 Accepting new patients
Affinity Health Group LLC CurrentSince Mar 19, 2018 Accepting new patients
Wound Care Associates LLC CurrentSince Apr 1, 2024 Accepting new patients
Affinity Health Group, LLC CurrentSince Mar 19, 2018 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328

1281 Lamy Ln
Ste 110
Monroe, LA 71201
Phone (318) 374-7370

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

161 Christian Dr
Rayville, LA 71269
Phone (318) 661-3030

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

256 Highway 3048
Rayville, LA 71269
Phone (318) 728-2046

5975 Federal 80 Hwy
Rayville, LA 71269
Phone (318) 728-4368

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1821352535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-2046",
            "fax_number": "318-728-9371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 Federal 80 Hwy",
            "address_purpose": "LOCATION",
            "city": "Rayville",
            "state": "LA",
            "postal_code": "712697750",
            "country_code": "US",
            "telephone_number": "318-728-4368",
            "fax_number": "318-728-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "ANGELA",
        "middle_name": "CLARK",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314416",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.