Active NPI
Angie Watts, APRN
- Family Medicine Physician
- Hernando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11025896
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230815004031 | FL | Practitioner - Nurse Practitioner | 9638531122 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025896 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Family Medicine | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
FL
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL
-
- Nurse Practitioner
- Columbia, MD
- NPI 1013348028
Family Medicine, FL
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.