ANGELA SUELINE CARROLL R.N.
NPI 1194017194
Nurse Practitioner - Primary Care in Milwaukee, WI

Active since May 09, 2011PECOS Enrolled
6228 W KAUL AVE APT 1, MILWAUKEE, WI 53218(262) 344-4002 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Sueline Carroll R.n. NPPES

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

ANGELA SUELINE CARROLL R.N. (NPI 1194017194) is an individual primary care provider in Milwaukee, Wisconsin, licensed in Wisconsin (F12250700) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194017194
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameANGELA SUELINE CARROLLCredential: R.N.
Location Address6228 W KAUL AVE APT 1Milwaukee, WI 53218-1527
Mailing Address6228 W Kaul Ave Apt 1Milwaukee, WI 53218-1527 · (262) 344-4002
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 9, 2011
Last NPPES UpdateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1194017194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WI · F12250700
6228 W KAUL AVE APT 1, Milwaukee, WI 53218

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Sueline Carroll R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537626569
PECOS Enrollment IDI20260810000738
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.

Medicare Billing Reassignment

Medicare enrollment records show Angela Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53218 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 Angela Carroll's NPI number?

The NPI number for Angela Carroll is 1194017194. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Angela Carroll located?

Angela Carroll practices at 6228 W Kaul Ave Apt 1, Milwaukee, WI 53218. The listed phone number is (262) 344-4002.

What is Angela Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Angela Carroll enrolled in Medicare?

Yes. Angela Carroll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Carroll reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Carroll accept?

Health plans from CareSource (Common Ground Healthcare) list Angela Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Carroll was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.