Individual provider Active NPI

Angelia Ezell Hart, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1841646643
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-095539 Issued in AL
Practice address
247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone
(256) 882-1510
Fax
(256) 217-5838
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 1-095539 AL Primary

Addresses

Primary practice location

247 Chateau Dr SW
Huntsville, AL 35801-6401

Mailing address

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-1510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angelia.hart@innovapc.eclinicaldirectplus.com Innova Primary Care, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160912002513 AL Practitioner - Nurse Practitioner 3173819406 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Primary Care, PC CurrentSince Jul 17, 2016 Accepting new patients

Locations

247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393

1102 Gleneagles Dr SW
Huntsville, AL 35801
Phone (256) 881-5880

Interoperability endpoints

  • Direct secure messaging: angelia.hart@innovapc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1841646643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ANGELIA",
        "middle_name": "EZELL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-095539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelia.hart@innovapc.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Innova Primary Care, PC",
            "address_1": "247 Chateau Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358016401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.