MRS. ANGELA MARDENBOROUGH APRN-CNP
NPI 1548618572
Nurse Practitioner - Family in Lawton, OK

Q: What is Angela Mardenborough's NPI number?

The NPI number for Angela Mardenborough is 1548618572. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Angela Mardenborough's specialty?

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

Active since May 31, 2016PECOS Enrolled

5404 SW LEE BLVD, LAWTON, OK 73505(580) 355-5242(580) 355-5245 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Angela Mardenborough Aprn-cnp NPPES

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

MRS. ANGELA MARDENBOROUGH APRN-CNP (NPI 1548618572) is an individual family provider in Lawton, Oklahoma, licensed in Oklahoma (219885) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548618572

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ANGELA MARDENBOROUGHCredential: APRN-CNP

Location Address5404 SW LEE BLVDLawton, OK 73505-9521

Mailing Address4301 Wilson StFort Sill, OK 73503-4472 · (580) 558-2662

Phone(580) 355-5242

Fax(580) 355-5245

Sole ProprietorNo

Enumeration DateMay 31, 2016

Last NPPES UpdateDecember 23, 2024

NPPES CertifiedDecember 23, 2024

✔ NPI 1548618572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in OK · 219885

Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 100136 (OK)

5404 SW LEE BLVD, Lawton, OK 73505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health 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 (PECOS)

Mrs. Angela Mardenborough Aprn-cnp 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 73505 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

DR. PHONG LUU D.O

Family Medicine