Angela Potter Dison, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

206722 Issued in LA

Practice address

1 Medical Plaza PL
Minden, LA 71055-3330

Phone

(318) 377-2321

Fax

(318) 371-5606

NPI assigned

Jul 18, 2019

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

Medicare fee-for-service enrollment

Enrolled in LA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webster Emergency Group LLCGroup PAC ID 2961448170, 16 clinicians

Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians

Ed Physicians of West Louisiana, LLCGroup PAC ID 4880795665, 26 clinicians

Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Merit-based Incentive Payment System (MIPS)

Final score

94.86 of 100Reported as group

Quality

91.31

Promoting interoperability

95

Improvement activities

40

Cost

79.05

Merit-based Incentive Payment System (MIPS)

Final score

87.16 of 100Reported as group

Quality

74.02

Improvement activities

40

Cost

78.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.dison.1@3681.direct.athenahealth.com

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.

• Ed Physicians of West Louisiana, LLC

  • Emergency Medicine Physician
  • West Monroe, LA
  • NPI 1255460143

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Highland Emergency Group, LLC

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1154913861

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Homer Memorial Hospital

  • Emergency Medicine Physician
  • Homer, LA
  • NPI 1609066646
  Medicare reassignment Care Compare group NPD
• Webster Emergency Group LLC

  • Emergency Medicine Physician
  • Minden, LA
  • NPI 1245209527

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
  • NPI 1497986764
  Medicare reassignment NPD
• Northeast Louisiana Physicians, LLC

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1407637671

  Nurse Practitioner

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  LA, Nurse Practitioner

  Medicare reassignment NPD
• River Oaks Emergency Group, LLC

  • Emergency Medicine Physician
  • Alexandria, LA
  • NPI 1407448186
  Medicare reassignment
• Homer Memorial Hospital

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer, LA
  • NPI 1306441175
  NPD
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Haughton, LA
  • NPI 1699392589
  NPD
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1720360795
  NPD
• Minden Physician Practices LLC

  • Family Nurse Practitioner
  • Minden, LA
  • NPI 1265777957
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• Homer Memorial Hospital

  • General Acute Care Hospital
  • Homer, LA
  • NPI 1831183748
  Care Compare affiliation

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1972156040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-2321",
            "fax_number": "318-371-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISON",
        "first_name": "ANGELA",
        "middle_name": "POTTER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "206722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elisabeth Deville, F.N.P.-C
• Manish Dhawan, MD
• Dialysis Clinic Inc
• Jennifer Dickinson
• Stephanie Johnson Diffey, APRN, FNP-C
• Divine Services
• Divine Services
• Divine Services
• Divine Services LLC
• Huynh DO, PHARM D

• Nurse Practitioner in Minden, LA
• Providers in Minden, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.