Active NPI
Angel Wasson, FNP-BC
- Family Nurse Practitioner
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9280196
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 86.08
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9280196 | FL | MD | Family Nurse Practitioner |
| 71007719A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physician Network LLC Series I | Current | Accepting new patients | |
| Global Physician Network LLC Series II | Current | 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.
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1821518028
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1316467525
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1346912805
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.