MRS. ANGELA MITCHELL CLATER (APRN) – Adult Health Nurse Practitioner, NPI 1104199215

MRS. ANGELA MITCHELL CLATER (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3007356 (KY). The NPI Number for MRS. ANGELA MITCHELL CLATER (APRN) is 1104199215

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELA MITCHELL CLATER (APRN)
NPI
1104199215
Phone
(502) 327-9100
Address
140 WHITTINGTON PKWY
Enumeration Date
21 February 2012
Last Update Date
28 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2011 (15 years ago)
PAC ID
0749472348
Group Practice PAC ID
8325228414
Professional Enrollment ID
I20120327000947
Address ID
KY402226375LO4965X42XX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MRS. ANGELA MITCHELL CLATER (APRN)

  • 140 WHITTINGTON PKWY

    SUITE 100

    LOUISVILLE, KY 402224930

    Phone: (502) 327-9100

    Fax: (502) 742-3767

    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 2 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Neurelis, Inc. ($69).

Total Amount

$95

General + Research + Ownership

Payments

2

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

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: 2025-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120327000947INurse PractitionerKYTBD
I20250110001299INurse PractitionerINTBD

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 40222)

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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: 8325228414View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerFL
Nurse PractitionerLA
Nurse PractitionerTN
Nurse PractitionerAL
Nurse PractitionerKY
Nurse PractitionerKY
-GA
Nurse PractitionerKY

Reviews

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Frequently asked questions

What federal number belongs to MRS. ANGELA MITCHELL CLATER (APRN)?
The federal identifier for MRS. ANGELA MITCHELL CLATER (APRN) is NPI 1104199215.
Is MRS. ANGELA MITCHELL CLATER (APRN)'s NPI currently valid?
The extract we use shows MRS. ANGELA MITCHELL CLATER (APRN) as active.
Does MRS. ANGELA MITCHELL CLATER (APRN) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for MRS. ANGELA MITCHELL CLATER (APRN). Clinical services aligned with this taxonomy classification.
Where is MRS. ANGELA MITCHELL CLATER (APRN)'s primary listing?
We display Louisville, Kentucky because that is what the record indicates for MRS. ANGELA MITCHELL CLATER (APRN).
How can I contact MRS. ANGELA MITCHELL CLATER (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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