Individual provider Active NPI

Angela Yvette Armstrong, ARNP

  • Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1831190081
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2612022 Issued in FL
Practice address
2055 Professional Center Dr
Orange Park, FL 32073-4461
Phone
(904) 276-4500
Fax
(904) 276-4160
NPI assigned
Aug 9, 2005
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2612022 FL Primary

Addresses

Primary practice location

2055 Professional Center Dr
Orange Park, FL 32073-4461

Mailing address

1550 Riverside Ave
Ste a
Jacksonville, FL 32204-4162
Phone (904) 276-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050106000889 FL Practitioner - Nurse Practitioner 6901854868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Dermatology and Skin Surgery PAGroup PAC ID 1153547989, 7 clinicians

Practice addresses (Care Compare)

1209 Park Ave
Orange Park, FL 32073-4158
Phone (904) 923-6647

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Dermatology and Skin Surgery PA CurrentSince Feb 1, 2017 Accepting new patients
Allergy Sinus & Asthma Specialty Care PastSince Mar 1, 2016 Accepting new patients

Locations

1550 Riverside Ave
Ste A
Jacksonville, FL 32204
Phone (904) 613-3996

1209 Park Ave
Orange Park, FL 32073
Phone (904) 278-7012

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1831190081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RIVERSIDE AVE",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044162",
            "telephone_number": "904-276-4500",
            "fax_number": "904-276-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-276-4500",
            "fax_number": "904-276-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "ANGELA",
        "middle_name": "YVETTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2612022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.