ANGELA CARSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609240852

ANGELA CARSON (APRN) is a healthcare provider. based in Fort leonard wood, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 0001233254 (VA). The NPI Number for ANGELA CARSON (APRN) is 1609240852

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA CARSON (APRN)
NPI
1609240852
Phone
(573) 596-0445
Address
4330 MISSOURI AVENUE
Enumeration Date
25 November 2015
Last Update Date
11 October 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8042146460
Graduation Year
2019 (7 years ago)
PAC ID
1658787080
Group Practice PAC ID
3678961901
Professional Enrollment ID
I20210310001614
Address ID
VA231114724ME7507XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for ANGELA CARSON (APRN)

  • 4330 MISSOURI AVENUE

    FORT LEONARD WOOD, MO 65473

    Phone: (573) 596-0445

    Type: Location

  • 825 DILIGENCE DR

    NEWPORT NEWS, VA 236064211

    Phone: (757) 310-6900

    Type: Location

  • 230 LASALLE AVE

    HAMPTON, VA 236611629

    Phone:

    Type: Mailing

  • 7507 WASHINGTON ARCH DR

    MECHANICSVILLE, VA 231114724

    Phone: (240) 380-7543

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2021-03-10

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
I20210310001614INurse PractitionerVATBD

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 65473)

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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: 3678961901View full group profile
NameSpecialtyState
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do I look up ANGELA CARSON (APRN) by NPI?
Use NPI 1609240852 when you need to reference ANGELA CARSON (APRN) in forms, claims, or directories.
Is ANGELA CARSON (APRN)'s NPI currently valid?
The extract we use shows ANGELA CARSON (APRN) as active.
What does ANGELA CARSON (APRN) treat or focus on?
Patients typically see ANGELA CARSON (APRN) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANGELA CARSON (APRN)?
The page summarizes Fort Leonard Wood, Missouri for ANGELA CARSON (APRN); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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