ANGELA DIANNE FORD (FNP-C) – Family Nurse Practitioner, NPI 1851631089

ANGELA DIANNE FORD (FNP-C) is a healthcare provider. based in Port arthur, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 631395 (TX). The NPI Number for ANGELA DIANNE FORD (FNP-C) is 1851631089

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA DIANNE FORD (FNP-C)
NPI
1851631089
Phone
(409) 983-1161
Address
2548 MEMORIAL BLVD
Enumeration Date
25 February 2013
Last Update Date
25 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098924600
Graduation Year
1996 (30 years ago)
PAC ID
9638311749
Group Practice PAC ID
0042500100
Professional Enrollment ID
I20150902001137
Address ID
TX777014667BE3070XSTXX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for ANGELA DIANNE FORD (FNP-C)

  • 2548 MEMORIAL BLVD

    PORT ARTHUR, TX 776402825

    Phone: (409) 983-1161

    Fax: (409) 982-0978

    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)

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: 2015-09-02

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
I20150902001137INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7744$0
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional3227$0
G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes1919$0
G0444Annual depression screening, 5 to 15 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 77640)

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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: 0042500100View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
A N E S T H E S I O L O G YLA
Nurse PractitionerTX
Anesthesiology, Interventional Pain ManagementTX

Reviews

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Frequently asked questions

What identifier follows ANGELA DIANNE FORD (FNP-C) across health systems?
The NPI 1851631089 uniquely identifies ANGELA DIANNE FORD (FNP-C) in U.S. healthcare data.
Should I treat ANGELA DIANNE FORD (FNP-C) as an active provider?
Patients and plans typically see ANGELA DIANNE FORD (FNP-C) as active in the national extract.
How should patients interpret ANGELA DIANNE FORD (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for ANGELA DIANNE FORD (FNP-C). Clinical services aligned with this taxonomy classification.
Can patients visit ANGELA DIANNE FORD (FNP-C) in Port Arthur, Texas?
For routing, start with Port Arthur, Texas for ANGELA DIANNE FORD (FNP-C), then verify phone and hours locally.
Can I export ANGELA DIANNE FORD (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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