ANGELIQUE LAVONNE BISHOP (APRN-CNP) – Nurse Practitioner, NPI 1104415454

ANGELIQUE LAVONNE BISHOP (APRN-CNP) is a healthcare provider. based in Bangs, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 1018731 (TX). The NPI Number for ANGELIQUE LAVONNE BISHOP (APRN-CNP) is 1104415454

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
ANGELIQUE LAVONNE BISHOP (APRN-CNP)
NPI
1104415454
Phone
(325) 998-1119
Address
4101 COUNTY ROAD 139
Enumeration Date
12 January 2021
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3254884583
Graduation Year
2020 (6 years ago)
PAC ID
1254746084
Group Practice PAC ID
9739491564
Professional Enrollment ID
I20210209000834
Address ID
TX768015957BR118XXDRXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ANGELIQUE LAVONNE BISHOP (APRN-CNP)

  • 4101 COUNTY ROAD 139

    BANGS, TX 768233822

    Phone: (325) 998-1119

    Type: Mailing

  • 7153 HIGHWAY 279

    BROWNWOOD, TX 768010010

    Phone: (325) 642-9198

    Type: Location

  • 1038 EARLY BLVD

    EARLY, TX 768022211

    Phone: (325) 646-4800

    Type: Location

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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Medline Industries LP ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$27
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: 2021-02-09

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
I20210209000834INurse PractitionerTXTBD

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 76823)

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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: 9739491564View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to ANGELIQUE LAVONNE BISHOP (APRN-CNP)?
The federal identifier for ANGELIQUE LAVONNE BISHOP (APRN-CNP) is NPI 1104415454.
Does this profile mean ANGELIQUE LAVONNE BISHOP (APRN-CNP) is currently active?
Yes — ANGELIQUE LAVONNE BISHOP (APRN-CNP) appears active in the national provider directory.
What does ANGELIQUE LAVONNE BISHOP (APRN-CNP) treat or focus on?
Patients typically see ANGELIQUE LAVONNE BISHOP (APRN-CNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place ANGELIQUE LAVONNE BISHOP (APRN-CNP)?
The snapshot lists Bangs, Texas for ANGELIQUE LAVONNE BISHOP (APRN-CNP); download NPPES for the complete set.
What if Bangs, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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