Angela Trent, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28125831A Issued in IN

Practice address

800 Macarthur Blvd Ste 5
Munster, IN 46321-2917

Phone

(219) 392-7025

Fax

(219) 392-7026

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Woodfaulk Other name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mid-America Mental Health LLCGroup PAC ID 9739476201, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-America Mental Health LLC

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1710435094
  Medicare reassignment Care Compare group NPD
• Seven Hills OB-GYN Associates LLC

  dba Axia Women's Health Midwest Laboratory

  • Obstetrics & Gynecology Physician
  • Carmel, IN
  • NPI 1396350187
  Medicare reassignment NPD
• Vitae Health Medical Indiana LLC

  • Clinical Social Worker
  • Demotte, IN
  • NPI 1396493433
  Medicare reassignment NPD
• Seven Hills OB-GYN Associates, LLC

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1780312975
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1922766690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MACARTHUR BLVD STE 5",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212917",
            "telephone_number": "219-392-7025",
            "fax_number": "219-392-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "ANGELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28125831A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WOODFAULK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tsuyoshi Toyama, MD
• Transcend Medical Supplies, LLC
• TRC - Indiana LLC (Comprehensive Renal Care Munster)
• Charles Leo Tremaine, MD
• Susan P. Tremaine, RN
• Triark LLC
• Carolyn Huyen Trieu, PA-C
• Trimboli Bogie Inc PC
• Nancy J Trimboli, D.C.
• Milanka Trivunovic, RPH

• Psychiatric/Mental Health Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.