Individual provider Active NPI

Angela Sue St. Onge, AGPCNP-BC. BSN-RN

  • Adult Health Nurse Practitioner
  • Spooner, WI
National Provider Identifier
1982152393
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7847-33 Issued in WI
Practice address
1180 Chandler Dr
Spooner, WI 54801-2204
Phone
(715) 635-2151
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 156262-30 WI
Primary Care Nurse Practitioner 363LP2300X 7847-33 WI
Adult Health Nurse Practitioner 363LA2200X 7847-33 WI Primary

Addresses

Primary practice location

1180 Chandler Dr
Spooner, WI 54801-2204

Mailing address

1180 Chandler Drive
Essentia Health Spooner Clinic
Spooner, WI 54801-2204
Phone (715) 635-2151

Other practice location 1

205 4th Ave
Shell Lake, WI 54871
Phone (715) 468-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156262-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Angelcare Medicine, LLC Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients

Locations

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: angela.stonge@marshfieldclinichealthsystem.cernerdirect.com

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982152393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CHANDLER DRIVE",
            "address_2": "ESSENTIA HEALTH SPOONER CLINIC",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548012204",
            "telephone_number": "715-635-2151",
            "fax_number": "715-635-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 CHANDLER DR",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548012204",
            "telephone_number": "715-635-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Shell Lake",
            "state": "WI",
            "postal_code": "54871",
            "country_code": "US",
            "telephone_number": "715-468-2711",
            "fax_number": "715-468-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. ONGE",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "credential": "AGPCNP-BC. BSN-RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "156262-30",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "7847-33",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "7847-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

Verify at the official NPI Registry.