Individual provider Active NPI

Claudia M Angulo, F.N.P.

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1851729776
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN148980 Issued in AZ
Practice address
12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone
(602) 641-9486
Fax
(480) 500-8430
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 RN148980 AZ Primary

Addresses

Primary practice location

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021

Mailing address

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Other identifiers 1

IdentifierTypeStateIssuer
867283MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150217001233 AZ Practitioner - Nurse Practitioner 4981929833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Cardiovascular Associates LLCGroup PAC ID 7315362969, 16 clinicians

Practice addresses (Care Compare)

12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN148980AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Cardiovascular Associates, LLC CurrentSince Aug 1, 2020 Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Texan Urgent Care PLLC PastSince Jun 6, 2021 Accepting new patients
Arizona Pulmonary Specialists LTD PastSince Jan 1, 1997 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 330
Avondale, AZ 85392

10825 W McDowell Rd
Ste 320
Avondale, AZ 85392
Phone (602) 698-7325

10825 W McDowell Rd
Ste 310
Avondale, AZ 85392
Phone (602) 698-7325

203 S Candy Ln
Ste 4A
Cottonwood, AZ 86326
Phone (928) 649-1389

1340 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-1873

1501 S Yale St
Ste 150
Flagstaff, AZ 86001
Phone (928) 527-4325

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

12361 W Bola Dr
Ste 112
Surprise, AZ 85378
Phone (602) 698-7325

12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (602) 698-7325

Interoperability endpoints

  • Direct secure messaging: claudiaangulo@cvc.allscriptsdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1851729776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-641-9486",
            "fax_number": "480-500-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-641-9486",
            "fax_number": "480-500-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO",
        "first_name": "CLAUDIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN148980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "867283",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.