Individual provider Active NPI

Angel Wasson, FNP-BC

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1982144242
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9280196 Issued in FL
Practice address
4647 Manatee Ave W
Bradenton, FL 34209-3816
Phone
(941) 745-5999
Fax
(941) 745-3555
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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 71007719A IN
Family Nurse Practitioner 363LF0000X 9280196 FL Primary

Addresses

Primary practice location

4647 Manatee Ave W
Bradenton, FL 34209-3816

Mailing address

367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (941) 745-5999

Other practice location 1

6272 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone (941) 907-2800

Other practice location 2

9908 SR 64 East
Bradenton, FL 34212-5303
Phone (941) 747-8600

Other practice location 3

1684 Bush Ln
Crawfordsville, IN 47933-3364
Phone (765) 365-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181212001063 FL Practitioner - Nurse Practitioner 0840556205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Barnes Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

500 John Ringling Blvd
Sarasota, FL 34236-1430
Phone (941) 952-4750

5590 Bee Ridge Rd
BLDG a
Sarasota, FL 34233-1513
Phone (941) 952-4950

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

8431 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 261-6800

997 US Hwy 41 Byp N
Ambulatory Care Physicians of Sarasota
Venice, FL 34285-6046
Phone (941) 952-4250

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
86.08
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9280196FLMDFamily Nurse Practitioner
71007719AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series I CurrentSince Apr 15, 2022 Accepting new patients
Global Physician Network LLC Series II CurrentSince Apr 15, 2022 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Organizations & group practices 4

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 1

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1982144242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-745-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093816",
            "telephone_number": "941-745-5999",
            "fax_number": "941-745-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6272 Lake Osprey Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342408425",
            "country_code": "US",
            "telephone_number": "941-907-2800",
            "fax_number": "941-907-9434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9908 SR 64 East",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342125303",
            "country_code": "US",
            "telephone_number": "941-747-8600",
            "fax_number": "941-749-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1684 Bush Ln",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479333364",
            "country_code": "US",
            "telephone_number": "765-365-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSON",
        "first_name": "ANGEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007719A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9280196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.