ANGELLA D BASCOM A.R.N.P.
NPI 1023182656
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Angella Bascom's NPI number?

The NPI number for Angella Bascom is 1023182656. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Angella Bascom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Angella Bascom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2006PECOS Enrolled

9283 SAN JOSE BLVD # B-2S1, JACKSONVILLE, FL 32257(904) 268-5826(904) 268-5826 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 26, 2017 (3 updates tracked since 2017).

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About Angella D Bascom A.r.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELLA D BASCOM A.R.N.P. (NPI 1023182656) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9238929) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Medway.

NPPES Registry Identity

NPI1023182656

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELLA D BASCOMCredential: A.R.N.P.

Location Address9283 SAN JOSE BLVD # B-2S1Jacksonville, FL 32257-5584

Mailing Address9283 San Jose Blvd # B-2s1Jacksonville, FL 32257-5584 · (904) 268-5826

Phone(904) 268-5826

Fax(904) 268-5826

Sole ProprietorYes

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1023182656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · ARNP9238929✔ Licensed in MA · RN2269970

9283 SAN JOSE BLVD # B-2S1, Jacksonville, FL 32257

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Secondary Practice Location 1

Location 167 Main StMedway, MA 02053-1817 · Phone (866) 389-2727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angella D Bascom A.r.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angella Bascom's NPI number?

The NPI number for Angella Bascom is 1023182656. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Angella Bascom located?

Angella Bascom practices at 9283 San Jose Blvd # B-2s1, Jacksonville, FL 32257. The listed phone number is (904) 268-5826.

What is Angella Bascom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angella Bascom enrolled in Medicare?

Yes. Angella Bascom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angella Bascom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.