ANGELA THEOBALD APRN, AGPCNP-BC
NPI 1215822291
Nurse Practitioner - Primary Care in Dallas, TX
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Angela Theobald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75208
- Reassigned Medicare billing, Texas enrollment
- 135 clinicians in this Medicare group
Kemp, TX 75143
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXPhysician 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.
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.
DALLAS, TX 75208
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.
Which organizations bill Medicare for Angela Theobald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Theobald reassigns Medicare benefits to 2 organizations: Physician Associates Of Southwest Dallas (Dallas, TX) and Theobald Medical Center LLC (Kemp, TX). Each 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 Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Theobald accept?
Health plans from Blue Cross and Blue Shield of Texas list Angela Theobald 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.
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 12 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.
# Angela Theobald, APRN, AGPCNP-BC · NPI 1215822291
Primary Care physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 11, 2025.
## Identity
- **NPI:** 1215822291 (Entity type: Individual)
- **Enumerated:** June 11, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1194745 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 122 W COLORADO BLVD, Dallas, TX 75208-2382
- **Phone:** (214) 947-6700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Physician Associates Of Southwest Dallas (NPI 1801845425, Dallas, TX); Theobald Medical Center LLC (NPI 1700731957, Kemp, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215822291) · Data from the CMS NPPES public registry.