ANGELA ANTHONY (APRN) – Occupational Medicine Physician, NPI 1528520749

ANGELA ANTHONY (APRN) is a healthcare provider. based in Titusville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11000070 (FL). The NPI Number for ANGELA ANTHONY (APRN) is 1528520749

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA ANTHONY (APRN)
NPI
1528520749
Phone
Not provided
Address
1158 MEADOW LARK DR
Enumeration Date
5 April 2019
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
7911344254
Group Practice PAC ID
7618870296
Professional Enrollment ID
I20240322001808
Address ID
FL329274305PO5005XPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for ANGELA ANTHONY (APRN)

  • 1158, Meadow Lark Drive, Titusville, Brevard County, Florida, 32780, United States

    TITUSVILLE, FL 327807213

    Phone:

    Type: Mailing

  • Salisbury Road, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322168052

    Phone: (813) 348-0129

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 312-3321

    Type: Mailing

  • 1223 GATEWAY DR STE 1B

    MELBOURNE, FL 329012607

    Phone: (321) 312-3321

    Fax: (321) 409-3685

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240322001808INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32780)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618870296View full group profile
NameSpecialtyState
-FL
Internal Medicine, Critical Care (Intensivists), Internal MedicineFL
Gastroenterology, Internal MedicineFL
-FL
Nurse PractitionerFL
-FL
-FL
-FL
Cardiovascular Disease (Cardiology), General SurgeryNY
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Is ANGELA ANTHONY (APRN) listed with a National Provider Identifier?
Yes — ANGELA ANTHONY (APRN) has NPI 1528520749 on file in the registry.
Is ANGELA ANTHONY (APRN) still an active registrant?
ANGELA ANTHONY (APRN) carries an active NPI according to the public dataset.
What clinical focus is listed for ANGELA ANTHONY (APRN)?
At a glance, ANGELA ANTHONY (APRN) is tied to Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ANGELA ANTHONY (APRN) located near Titusville?
ANGELA ANTHONY (APRN) currently maps to Titusville, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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