ANGELA SOUTH
NPI 1114629540
Nurse Practitioner - Psychiatric/Mental Health in Medina, OH

Q: What is Angela South's NPI number?

The NPI number for Angela South is 1114629540. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Angela South's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Angela South was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment

3567 RESERVE COMMONS DR STE 100, MEDINA, OH 44256(330) 664-9250 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Angela South NPPES

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

ANGELA SOUTH (NPI 1114629540) is an individual psychiatric/mental health provider in Medina, Ohio, licensed in Ohio (0034233) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Caribou Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114629540

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANGELA SOUTH

Location Address3567 RESERVE COMMONS DR STE 100Medina, OH 44256-5344

Mailing Address3567 Reserve Commons Dr Ste 100Medina, OH 44256-5344 · (330) 664-9250

Phone(330) 664-9250

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1114629540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · 0034233

Also ListedRegistered NurseTaxonomy 163W00000X · License 398808 (OH)

3567 RESERVE COMMONS DR STE 100, Medina, OH 44256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela South is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264891274

PECOS Enrollment IDI20230710001502

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

856 services216 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

428 services107 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

168 services65 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

108 services108 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

86 services44 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

81 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID

OwnershipGovernment - Local

CMS Certification Number131309

Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN FRENCH

Nurse Practitioner (Psychiatric/Mental Health)