ANGIE ETHRIDGE APRN PLLC
NPI 1548638240
Nurse Practitioner - Family in Coxs Creek, KY
About Angie Ethridge Aprn Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGIE ETHRIDGE APRN PLLC (NPI 1548638240) is a healthcare organization registered as a family in Coxs Creek, Kentucky and active in the NPI registry since September 2015. The organization lists Angela D Ethridge, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angie Ethridge Aprn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Angie Ethridge Aprn PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Angie Ethridge Aprn PLLC's NPI number?
The NPI number for Angie Ethridge Aprn PLLC is 1548638240. It was assigned to this organization in the NPPES registry on September 11, 2015.
Where is Angie Ethridge Aprn PLLC located?
Angie Ethridge Aprn PLLC is located at 561 Ethridge Ln, Coxs Creek, KY 40013. The listed phone number is (502) 262-7929.
What is Angie Ethridge Aprn PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angie Ethridge Aprn PLLC enrolled in Medicare?
Yes. Angie Ethridge Aprn PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Angie Ethridge Aprn PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Angie Ethridge Aprn PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Angie Ethridge Aprn PLLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Angie Ethridge Aprn Pllc · NPI 1548638240
Family organization in Coxs Creek, Kentucky. Organization record, active in the CMS NPPES registry since September 11, 2015.
## Identity
- **NPI:** 1548638240 (Entity type: Organization)
- **Enumerated:** September 11, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Angela Ethridge, OWNER
## Practice location
- **Address:** 561 ETHRIDGE LN, Coxs Creek, KY 40013-8857
- **Phone:** (502) 262-7929 · **Fax:** (833) 449-5151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2024
- **Other identifiers:** Medicaid 7100380730 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1548638240) · Data from the CMS NPPES public registry.