Angela Sue St. Onge, AGPCNP-BC. BSN-RN
Nurse Practitioner, Adult Health in Spooner, WI. Individual provider (NPI-1).
NPI number1982152393
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1982152393
- Entity type
- Individual (NPI-1)
- Name
- Angela Sue St. Onge
- Credential
- AGPCNP-BC. BSN-RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2016
- Last updated
- Mar 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 7847-33 | WI | Yes |
| 163W00000X | Registered Nurse | 156262-30 | WI | |
| 363LP2300X | Nurse Practitioner, Primary Care | 7847-33 | WI |
Practice location
1180 Chandler DrSpooner, WI 54801-2204
Phone 715-635-2151
Mailing address
1180 Chandler DriveEssentia Health Spooner Clinic
Spooner, WI 54801-2204
Phone 715-635-2151 · Fax 715-635-8768
Other practice locations
205 4th Ave
Shell Lake, WI 54871
Shell Lake, WI 54871
Phone 715-468-2711 · Fax 715-468-2727
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