Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Marie Raake, CNP

Individual provider Registered Nurse · NPI 1205329513

Angela Marie Raake, CNP is a Nurse Practitioner in Newark, Ohio. Qualified in 2018, 8 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-7750
Fax: (220) 564-7751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.022845 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.334619 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.022845 (OH)

Record details

NPI number1205329513
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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