Angela Anthony, FNP-BC in Port St John, FL - Medicare Nurse Practitioner

Angela Anthony, FNP-BC is a medicare enrolled "Nurse Practitioner" in Port St John, Florida. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Brevard Medical Support Inc and her current practice location is 5005 Port St John Pkwy, Port St John, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 633-8640.

Angela Anthony is licensed to practice in Florida (license number APRN11000070) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528520749.

Contact Information

	Angela Anthony, FNP-BC
	5005 Port St John Pkwy, Port St John, FL 32927-4305
	(321) 633-8640
	(321) 633-8641

Map and Direction

Provider's Profile

Full Name	Angela Anthony
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	5005 Port St John Pkwy, Port St John, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Angela Anthony graduated from nursing school in 2018

NPI Data:

NPI Number: 1528520749
Provider Enumeration Date: 04/05/2019
Last Update Date: 11/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7911344254
Enrollment ID: I20240322001808

Medical Identifiers

Medical identifiers for Angela Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528520749	NPI	-	NPPES
WK420	Other	FL	HFMG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11000070 (Florida)	Primary
2083X0100X	Preventive Medicine - Occupational Medicine	11000070 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Brevard Medical Support Inc	7618870296	70

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Anthony allows following entities to bill medicare on her behalf.

Entity Name	North Brevard Medical Support Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Anthony is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela Anthony, FNP-BC 1158 Meadow Lark Dr, Titusville, FL 32780-7213 Ph: () -	Angela Anthony, FNP-BC 5005 Port St John Pkwy, Port St John, FL 32927-4305 Ph: (321) 633-8640

Reviews and Comments

Nurse Practitioner Nurses in Port St John, FL

Katherine Penny Leonard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7227 N Us Highway 1 Ste 100, Port St John, FL 32927 Phone: 321-637-1595
Kristen E Austin-harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5005 Port St John Pkwy, Port St John, FL 32927 Phone: 321-633-8620
Keysha Brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5005 Port St John Pkwy, Port St John, FL 32927 Phone: 321-633-8620
Mrs. Taniqua Denise Andrews, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3740 Curtis Blvd Ste 108, Port St John, FL 32927 Phone: 321-633-5500 Fax: 321-633-5566
Flavia Lorena Ortiz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5005 Port St John Pkwy, Port St John, FL 32927 Phone: 321-633-8620
Sarah Maria Sampson Crandall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3740 Curtis Blvd Ste 108, Port St John, FL 32927 Phone: 321-633-5500

Angela Anthony, FNP-BC - Medicare Nurse Practitioner in Port St John, FL