Individual provider Active NPI

Angela M Stancy, APRN

  • Nurse Practitioner
  • Evanston, IL
National Provider Identifier
1225633506
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.022467 Issued in IL
Practice address
800 Austin St Ste 602
Evanston, IL 60202-3446
Phone
(847) 491-1977
Fax
(847) 491-0949
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.022467 IL Primary

Addresses

Primary practice location

800 Austin St Ste 602
Evanston, IL 60202-3446

Mailing address

800 Austin St Ste 602
Evanston, IL 60202-3446
Phone (847) 491-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000795 IL Practitioner - Nurse Practitioner 6406241876 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.022467ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vishnu D Gaiha MD SC CurrentSince Dec 6, 2020 Accepting new patients
Paragon Clinical LLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Healthdrive Medical Services Southeast LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Value Based Long Term Care H PC CurrentSince Oct 14, 2025 Accepting new patients
HDC Care Solutions, LLC Nurse Practitioner CurrentSince Aug 12, 2024 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

745 McClintock Dr
Ste 360
Burr Ridge, IL 60527
Phone (630) 506-1245

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

332 S Michigan Ave
Fl 4
Chicago, IL 60604

800 Austin St
Ste 602
Evanston, IL 60202
Phone (847) 433-3361

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1225633506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 602",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023446",
            "telephone_number": "847-491-1977",
            "fax_number": "847-491-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 602",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023446",
            "telephone_number": "847-491-1977",
            "fax_number": "847-491-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCY",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.022467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.