ANGEL SUE SQUIRE (APRN - PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1699309666
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for ANGEL SUE SQUIRE (APRN - PMHNP)
4523 SHADY PLACE CT
BOWLING GREEN, KY 421044423
Phone: (937) 285-0414
Type: Mailing
PO BOX 50327
BOWLING GREEN, KY 421022927
Phone: (615) 813-0726
Type: Mailing
5300 SCOTTSVILLE RD
#50327
BOWLING GREEN, KY 42104
Phone: (615) 813-0726
Type: Location
2459 Mount Victor Ln
Bowling Green, KY 421039061
Phone: (270) 935-5234
Fax: (270) 935-5173
Type: Location
4523 Shady Place Ct
Bowling Green, KY 421044423
Phone: (937) 285-0414
Type: Location
141 Parker St Ste 306
Maynard, MA 017542180
Phone: (866) 991-2103
Type: Location
839 Wren Rd
Goodlettsville, TN 370722316
Phone: (615) 766-8081
Fax: (615) 766-8083
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: 2022-03-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220323001551 | I | Nurse Practitioner | KY | TBD |
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.
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 42104)
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