ANGELA LYNETTE STREET (CRNP) – Adult Health Nurse Practitioner, NPI 1740485085

ANGELA LYNETTE STREET (CRNP) is a healthcare provider. based in Pikesville, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R097716 (MD). The NPI Number for ANGELA LYNETTE STREET (CRNP) is 1740485085

Main info

Female
26 Years Of Experience
Name
ANGELA LYNETTE STREET (CRNP)
NPI
1740485085
Phone
(410) 963-5048
Address
4809 HAWKSBURY RD
Enumeration Date
18 June 2007
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105500100
Graduation Year
2000 (26 years ago)
PAC ID
5698759967
Group Practice PAC ID
8921903147
Professional Enrollment ID
I20040615000645
Address ID
MD212242735BA4940XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

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Provider Addresses for ANGELA LYNETTE STREET (CRNP)

  • 4809, Hawksbury Road, Willow Glen North, Pikesville, Baltimore County, Maryland, 21208, United States

    PIKESVILLE, MD 212082142

    Phone: (410) 963-5048

    Fax: (410) 328-6956

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-01-17 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-17

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: 2004-06-15

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
I20040615000645INurse PractitionerMDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6941$0
View full utilization report →

Insurance plans in this area (ZIP 21208)

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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: 8921903147View full group profile
NameSpecialtyState
Internal MedicineMD
O T O L A R Y N G O L O G YTX
Clinical PsychologistMD
Physician AssistantMD
Physician AssistantMD
O P H T H A L M O L O G YMD
Pulmonary Disease, Internal MedicineMD
A N E S T H E S I O L O G YMD
-MD
Emergency Medicine, Internal MedicineMD

Reviews

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Frequently asked questions

What NPI should I save for ANGELA LYNETTE STREET (CRNP)?
Save NPI 1740485085 if you need a stable reference for ANGELA LYNETTE STREET (CRNP).
Is ANGELA LYNETTE STREET (CRNP)'s NPI currently valid?
The extract we use shows ANGELA LYNETTE STREET (CRNP) as active.
What does ANGELA LYNETTE STREET (CRNP) treat or focus on?
Patients typically see ANGELA LYNETTE STREET (CRNP) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANGELA LYNETTE STREET (CRNP)?
The page summarizes Pikesville, Maryland for ANGELA LYNETTE STREET (CRNP); expand the address list for detail.
What if Pikesville, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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