| Ms Angel Lee Wilson, ARNP | |
|
Bia #1 Soldier Creek Rd, Rosebud, SD 57570 | |
| (605) 747-2231 | |
| (605) 747-2216 |
| Full Name | Ms Angel Lee Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Bia #1 Soldier Creek Rd, Rosebud, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164430658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R024323 (South Dakota) | Primary |
| Entity Name | Us Health Dept Of Health & Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Entity Name | Great Plains Tribal Chairmens Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Angel Lee Wilson, ARNP Po Box 1111, Rosebud, SD 57570 Ph: (605) 747-5555 | Ms Angel Lee Wilson, ARNP Bia #1 Soldier Creek Rd, Rosebud, SD 57570 Ph: (605) 747-2231 |
Brandon Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Soldier Creek Dr, Rosebud, SD 57570 Phone: 605-747-2231 | |
Miss Carol Ann Wade, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Rosebud Ihs Hospital Soldier Creek Road, Rosebud, SD 57570 Phone: 605-747-2231 | |
Criselle Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Soldier Creek Dr, Rosebud, SD 57570 Phone: 605-747-2231 | |
Virginia Nmn Cozad, ARNP CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Box 400, Soldier Creek Road, Rosebud, SD 57570 Phone: 605-747-2231 Fax: 605-747-2216 | |
Kara Elizabeth Sprangers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Soldier Creek Rd, Rosebud, SD 57570 Phone: 605-747-2231 | |
Anne Margaret Cowles, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Soldier Creek Dr, Rosebud, SD 57570 Phone: 605-747-2231 |