Individual provider Active NPI

Angie Watts, APRN

  • Family Medicine Physician
  • Hernando, FL
National Provider Identifier
1902595010
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11025896 Issued in FL
Practice address
124 W Norvell Bryant Hwy
Hernando, FL 34442-5105
Phone
(352) 249-3100
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11025896 FL Primary

Addresses

Primary practice location

124 W Norvell Bryant Hwy
Hernando, FL 34442-5105

Mailing address

4875 N Maple Ter
Hernando, FL 34442-2735
Phone (352) 436-2293

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
I20230815004031 FL Practitioner - Nurse Practitioner 9638531122 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11025896FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Jun 1, 2023 Accepting new patients
Altea Medical Florida PLLC CurrentSince Jun 28, 2025 Accepting new patients
Provider Partners Care Management LP Family Medicine CurrentSince Jan 4, 2026 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Organizations & group practices 3

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1902595010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 N MAPLE TER",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344422735",
            "telephone_number": "352-436-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W NORVELL BRYANT HWY",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344425105",
            "telephone_number": "352-249-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ANGIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11025896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, FL

Sources for this page

Verify at the official NPI Registry.