Individual provider Active NPI

Angela Colleen Stokes, MSN, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, TN
National Provider Identifier
1972791903
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12952 Issued in TN
Practice address
1805 Ingleside Dr
Athens, TN 37303
Phone
(423) 745-8802
Fax
(423) 744-7064
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12952 TN Primary

Addresses

Primary practice location

1805 Ingleside Dr
Athens, TN 37303

Mailing address

1805 Ingleside Drive,
Athens, TN 37303
Phone (423) 745-8802

Other names 1

  • Mrs. Angela Colleen Wells Former name

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
I20071212000785 TN Practitioner - Nurse Practitioner 2567552656 Reassigns benefits to 1 organization
Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

2700 Executive Park NW
Cleveland, TN 37312-2722
Phone (423) 479-9581

940 S Ocoee St
Cleveland, TN 37311-2601
Phone (423) 479-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12952TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
G. Gary Leigh, PH.D., P.C. Past Accepting new patients

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1972791903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 INGLESIDE DRIVE,",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37303",
            "telephone_number": "423-745-8802",
            "fax_number": "423-744-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 INGLESIDE DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37303",
            "telephone_number": "423-745-8802",
            "fax_number": "423-744-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "ANGELA",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "12952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WELLS",
            "middle_name": "COLLEEN",
            "prefix": "MRS.",
            "credential": "MSN, APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.