ANGELA THEOBALD APRN, AGPCNP-BC
NPI 1215822291
Nurse Practitioner - Primary Care in Dallas, TX

Active since June 11, 2025PECOS EnrolledAccepts Medicare Assignment
122 W COLORADO BLVD, DALLAS, TX 75208(214) 947-6700 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Theobald Aprn, Agpcnp-bc NPPES

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

ANGELA THEOBALD APRN, AGPCNP-BC (NPI 1215822291) is an individual primary care provider in Dallas, Texas, licensed in Texas (1194745) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Methodist Dallas Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215822291
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameANGELA THEOBALDCredential: APRN, AGPCNP-BC
Location Address122 W COLORADO BLVDDallas, TX 75208-2382
Mailing Address122 W Colorado BlvdDallas, TX 75208-2382 · (214) 947-6700 · Fax (214) 947-6701
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 11, 2025
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1215822291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · 1194745
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1194745 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1194745 (TX)
122 W COLORADO BLVD, Dallas, TX 75208

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 Theobald Aprn, Agpcnp-bc 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 ID6406350818
PECOS Enrollment IDI20250918002897
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.

Hospital Affiliations CMS Care Compare

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

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450051
Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
122 W COLORADO BLVD
DALLAS, TX 75208
Internal Medicine
122 W COLORADO BLVD
DALLAS, TX 75208
Internal Medicine (Infectious Disease)
122 W COLORADO BLVD
DALLAS, TX 75208
Surgery
122 W COLORADO BLVD
DALLAS, TX 75208
Nurse Practitioner (Family)
122 W COLORADO BLVD
DALLAS, TX 75208
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
122 W COLORADO BLVD, 2ND FLOOR
DALLAS, TX 75208
Obstetrics & Gynecology (Maternal & Fetal Medicine)
122 W COLORADO BLVD
DALLAS, TX 75208
Surgery
122 W COLORADO BLVD
DALLAS, TX 75208

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 Theobald's NPI number?

The NPI number for Angela Theobald is 1215822291. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Angela Theobald located?

Angela Theobald practices at 122 W Colorado Blvd, Dallas, TX 75208. The listed phone number is (214) 947-6700.

What is Angela Theobald's specialty?

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

Is Angela Theobald enrolled in Medicare?

Yes. Angela Theobald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Angela Theobald affiliated with any hospitals?

According to CMS data, Angela Theobald is affiliated with Methodist Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Angela Theobald was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.