Individual provider Active NPI

Angela Pineda, NP

  • Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1891161394
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP128647 Issued in TX
Practice address
11797 South Fwy Ste 246
Burleson, TX 76028-7035
Phone
(817) 615-8627
Fax
(817) 615-8574
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003161 FL
Gerontology Nurse Practitioner 363LG0600X APRN11003161 FL
Nurse Practitioner 363L00000X AP128647 TX Primary

Addresses

Primary practice location

11797 South Fwy Ste 246
Burleson, TX 76028-7035

Mailing address

13000 Bella Italia CT
Fort Worth, TX 76126-6106
Phone (817) 615-8627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151012000374 TX Practitioner - Nurse Practitioner 6901115005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003161FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Crest Medical Clinic PLLC CurrentSince May 1, 2023 Accepting new patients
Wellmed Medical Group, PA CurrentSince Feb 27, 2025 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Feb 27, 2025 Accepting new patients
Huguley Medical Associates CurrentSince Apr 30, 2023 Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients

Locations

11797 South Fwy
Ste 246
Burleson, TX 76028
Phone (817) 551-5539

11803 South Fwy
Ste 205
Burleson, TX 76028
Phone (817) 293-1200

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

19500 Ih 10 W
Stop 24090
San Antonio, TX 78257
Phone (210) 762-3662

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

19500 Ih 10 W
Bldg 1
San Antonio, TX 78257
Phone (726) 567-6300

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

Interoperability endpoints

  • Direct secure messaging: angela.pineda@ppoa.directbygreenway.com

Organizations & group practices 5

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1891161394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BELLA ITALIA CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761266106",
            "telephone_number": "817-615-8627",
            "fax_number": "817-615-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY STE 246",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287035",
            "telephone_number": "817-615-8627",
            "fax_number": "817-615-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003161",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11003161",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.