Individual provider Active NPI

Angela Rhae Trotter, FNP-C

  • Family Nurse Practitioner
  • Groesbeck, TX
National Provider Identifier
1952584583
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
584842 Issued in TX
Practice address
204 W Trinity St
Groesbeck, TX 76642-1324
Phone
(254) 729-4330
Fax
(254) 729-4331
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 584842 TX Primary

Addresses

Primary practice location

204 W Trinity St
Groesbeck, TX 76642-1324

Mailing address

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3281

Other practice location 1

331 Red Oak Cir
China Spring, TX 76633-2765
Phone (254) 836-0094

Other practice location 2

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3281

Other identifiers 2

IdentifierTypeStateIssuer
215689501MedicaidTX
AP116419OtherTXTEXAS BOARD OF NURSING

Other names 1

  • Mrs. Angela Rhae Stone Former name

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
I20080610000832 TX Practitioner - Nurse Practitioner 7214008705 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Limestone Hospital District CurrentSince Nov 23, 2024 Accepting new patients
South Limestone Hospital District CurrentSince Nov 23, 2024 Accepting new patients

Locations

204 W Trinity St
Groesbeck, TX 76642
Phone (254) 729-3740

204 W Trinity St
#A
Lake Limestone, TX 76642
Phone (254) 729-3740

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

200 N Pearl St
Mart, TX 76664
Phone (254) 876-2566

Organizations & group practices 2

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1952584583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-729-3281",
            "fax_number": "254-729-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W TRINITY ST",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766421324",
            "telephone_number": "254-729-4330",
            "fax_number": "254-729-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Red Oak Cir",
            "address_purpose": "LOCATION",
            "city": "China Spring",
            "state": "TX",
            "postal_code": "766332765",
            "country_code": "US",
            "telephone_number": "254-836-0094",
            "fax_number": "254-836-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 McClintic Dr",
            "address_purpose": "LOCATION",
            "city": "Groesbeck",
            "state": "TX",
            "postal_code": "766422128",
            "country_code": "US",
            "telephone_number": "254-729-3281",
            "fax_number": "254-729-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "ANGELA",
        "middle_name": "RHAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "584842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215689501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP116419",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STONE",
            "middle_name": "RHAE",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.