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

Angelica Anderson, APRN

Individual provider Primary Care Nurse Practitioner · NPI 1619709078

Angelica Anderson, APRN is a Nurse Practitioner in Lebanon, Kentucky. Qualified in 2024, 2 years ago. Practices with Ultra Health LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

429 W Walnut St
Lebanon, KY 40033-1346
Phone: (270) 295-1010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4026321 (KY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4026321 (KY)

Record details

NPI number1619709078
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address546 Clell Mattingly Rd, Raywick, KY 40060-7573

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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