DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1588294243

DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) is a healthcare provider. based in Brookville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 28258584A (IN). The NPI Number for DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) is 1588294243

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC)
NPI
1588294243
Phone
(937) 402-8724
Address
112 OSTEND ST
Enumeration Date
22 January 2020
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
9377590545
Graduation Year
2019 (7 years ago)
PAC ID
2163844085
Group Practice PAC ID
8527462506
Professional Enrollment ID
I20200623002607
Address ID
OH453424926MI9049XPIKE300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:6State licenses:4Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC)

  • 112 OSTEND ST

    BROOKVILLE, OH 453091532

    Phone: (937) 402-8724

    Fax: (201) 625-1626

    Type: Mailing

  • 4248 MACON AVE

    HUBER HEIGHTS, OH 454245956

    Phone: (317) 253-7387

    Type: Location

  • 5735 MEEKER RD

    GREENVILLE, OH 453311186

    Phone: (937) 548-3806

    Fax: (937) 548-2087

    Type: Location

  • 4248 Macon Ave

    Huber Heights, OH 454245956

    Phone: (317) 253-7387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-11-24 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($176).

Total Amount

$337

General + Research + Ownership

Payments

12

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-24

Latest reported date

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: 2020-06-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200623002607INurse PractitionerOHTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes13657$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes6239$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 45309)

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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: 8527462506View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC)?
DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) — NPI 1588294243 — is the standard way to identify this listing.
Can I rely on DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) being an active provider?
As of the registry snapshot, DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) is marked active.
What taxonomy line describes DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC)?
For research purposes, treat DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) serve?
DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC)'s listing highlights Brookville, Ohio; more addresses can appear in NPPES.
Is the information about DR. ANGELIC DAWN WASHINGTON (AGPCNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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