ANGIE MARIE NELSON (FNP-BC) – Family Nurse Practitioner, NPI 1558100982

ANGIE MARIE NELSON (FNP-BC) is a healthcare provider. based in Garden city, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 53-83208-012 (KS). The NPI Number for ANGIE MARIE NELSON (FNP-BC) is 1558100982

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ANGIE MARIE NELSON (FNP-BC)
NPI
1558100982
Phone
(620) 275-1766
Address
712A SAINT JOHN ST
Enumeration Date
24 May 2024
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202751766
Graduation Year
2024 (2 years ago)
PAC ID
4880130376
Group Practice PAC ID
7416866124
Professional Enrollment ID
I20240719003218
Address ID
KS678465128GA712XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for ANGIE MARIE NELSON (FNP-BC)

  • 712A SAINT JOHN ST

    GARDEN CITY, KS 678465128

    Phone: (620) 275-1766

    Fax: (620) 275-4729

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

1

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-19

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
I20240719003218INurse PractitionerKSTBD

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 67846)

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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: 7416866124View full group profile
NameSpecialtyState
Clinical Social WorkerCO
O B S T E T R I C S/ G Y N E C O L O G YMO
Clinical Social WorkerKS
Nurse PractitionerKS
Clinical Social WorkerKS
Certified Nurse Midwife (Cnm)KS
Nurse PractitionerKS
Clinical Social WorkerKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How is ANGIE MARIE NELSON (FNP-BC) identified in CMS data?
CMS-hosted NPPES data lists ANGIE MARIE NELSON (FNP-BC) with NPI 1558100982.
Is ANGIE MARIE NELSON (FNP-BC) listed as active for patients and plans?
The listing shows ANGIE MARIE NELSON (FNP-BC) as active in the NPI system.
What taxonomy line describes ANGIE MARIE NELSON (FNP-BC)?
For research purposes, treat ANGIE MARIE NELSON (FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ANGIE MARIE NELSON (FNP-BC)?
ANGIE MARIE NELSON (FNP-BC)'s geographic hint is Garden City, Kansas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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