Individual provider Active NPI

Angela Hedges, DNP

  • Family Nurse Practitioner
  • Burlington, IA
National Provider Identifier
1821829078
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A180775 Issued in IA
Practice address
515 N 3Rd St
Burlington, IA 52601-5238
Phone
(319) 759-4999
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 A180775 IA Primary

Addresses

Primary practice location

515 N 3Rd St
Burlington, IA 52601-5238

Mailing address

8878 260TH St
Mediapolis, IA 52637-9169
Phone (319) 759-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250304000584 IA Order and Referring Only - Nurse Practitioner 5496276735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A180775IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovaire Primary Health PLLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

515 N 3rd St
Burlington, IA 52601
Phone (319) 428-9355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1821829078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8878 260TH ST",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "526379169",
            "telephone_number": "319-759-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015238",
            "telephone_number": "319-759-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "ANGELA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A180775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

Verify at the official NPI Registry.