Individual provider Active NPI

Angelina Musselman, APRN NP-C

  • Family Nurse Practitioner
  • Frostburg, MD
National Provider Identifier
1851780365
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC002362 Issued in MD
Practice address
10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone
(301) 689-3229
Fax
(301) 689-1129
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN80560 WV
Family Nurse Practitioner 363LF0000X 80560 WV
Family Nurse Practitioner 363LF0000X AC002362 MD Primary
Nurse Practitioner 363L00000X APRN80560 WV

Addresses

Primary practice location

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

Mailing address

329 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4932

Other practice location 1

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Other practice location 2

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

Other practice location 3

120 Campus Dr # 101
Martinsburg, WV 25404-7552
Phone (681) 247-1250

Other practice location 4

4803 Gerrardstown Rd
Inwood, WV 25428-3450
Phone (304) 821-9011

Other practice location 5

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

Other practice location 6

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone (240) 964-9300

Other practice location 7

23789 Garrett Hwy
Mc Henry, MD 21541-1338
Phone (240) 488-4139

Other identifiers 3

IdentifierTypeStateIssuer
211828OtherMDFQHC MEDICARE
564003200MedicaidMD
3810029354MedicaidWV

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address amusselman120993@soc.inova.org
Direct Messaging Address amusselman120993@soc.inova.org
Direct Messaging Address amusselman120993@soc.inova.org
Direct Messaging Address amusselman120993@soc.inova.org
Direct Messaging Address amusselman120993@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150608002251 MD Practitioner - Nurse Practitioner 2860713443 Reassigns benefits to 1 organization
I20180209001452 WV Practitioner - Nurse Practitioner 2860713443 Reassigns benefits to 1 organization
I20220118000858 VA Practitioner - Nurse Practitioner 2860713443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Enterprises, IncGroup PAC ID 0446164495, 53 clinicians

Practice addresses (Care Compare)

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC002362MDMDFamily Nurse Practitioner
80560WVMDFamily Nurse Practitioner
APRN80560WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Upmc Western Maryland Corporation Nurse Practitioner Current Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Dec 8, 2021 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 2, 2021 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Locations

1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139

160 Merchant St
#200
Winchester, VA 22603
Phone (540) 536-5950

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

220 Campus Blvd
Ste 100
Winchester, VA 22601

4803 Gerrardstown Rd
Inwood, WV 25428
Phone (304) 821-9011

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

45 Hunt Club Dr
Ridgeley, WV 26753
Phone (304) 726-4501

Interoperability endpoints

  • Direct secure messaging: amusselman120993@valleyhealth.direct-ci.com
  • Direct secure messaging: amusselman120993@soc.inova.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1851780365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SUNRISE BLVD",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267574607",
            "telephone_number": "304-822-4932",
            "fax_number": "304-822-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321457",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Marcley Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012977",
            "country_code": "US",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Oak Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254384879",
            "country_code": "US",
            "telephone_number": "304-930-0001",
            "fax_number": "301-689-1129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr # 101",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-247-1250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4803 Gerrardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "WV",
            "postal_code": "254283450",
            "country_code": "US",
            "telephone_number": "304-821-9011",
            "fax_number": "304-726-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Administrative Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046378",
            "country_code": "US",
            "telephone_number": "304-350-3200",
            "fax_number": "301-722-3276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "fax_number": "240-964-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23789 Garrett Hwy",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411338",
            "country_code": "US",
            "telephone_number": "240-488-4139",
            "fax_number": "240-488-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "ANGELINA",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN80560",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "80560",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002362",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN80560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC MEDICARE",
            "identifier": "211828",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564003200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029354",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amusselman120993@soc.inova.org",
            "affiliation": "N",
            "address_1": "100 Oak Lee Dr",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254384879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amusselman120993@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254046378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amusselman120993@soc.inova.org",
            "affiliation": "N",
            "address_1": "4803 Gerrardstown Rd",
            "city": "Inwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254283450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amusselman120993@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amusselman120993@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr # 101",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.