Individual provider Active NPI

Angela Marie Ward, NP

  • Primary Care Nurse Practitioner
  • Mountain City, TN
National Provider Identifier
1972264141
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
30946 Issued in TN
Practice address
5249 Highway 67 W
Mountain City, TN 37683-6471
Phone
(423) 727-7387
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30946 TN
Primary Care Nurse Practitioner 363LP2300X 30946 TN Primary

Addresses

Primary practice location

5249 Highway 67 W
Mountain City, TN 37683-6471

Mailing address

5249 Highway 67 W
Mountain City, TN 37683-6471
Phone (423) 727-7387

Other practice location 1

800 S Mohawk Dr Ste C
Erwin, TN 37650-2124
Phone (423) 330-6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220927001309 TN Practitioner - Nurse Practitioner 5991181083 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Regional Emergency Physicians, PCGroup PAC ID 3678859477, 118 clinicians
Tri-Cities Observation Services, PCGroup PAC ID 3274819719, 18 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

800 S Mohawk Dr
Suite C
Erwin, TN 37650-2124
Phone (423) 735-4750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30946TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Observation Services, PC CurrentSince Dec 10, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Nov 19, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 18, 2022 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

800 S Mohawk Dr
Ste C
Erwin, TN 37650
Phone (423) 330-6177

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1972264141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 HIGHWAY 67 W",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376836471",
            "telephone_number": "423-727-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 HIGHWAY 67 W",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376836471",
            "telephone_number": "423-727-7387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Mohawk Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376502124",
            "country_code": "US",
            "telephone_number": "423-330-6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30946",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "30946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

Verify at the official NPI Registry.