Individual provider Active NPI

Angela Vega, APRN

  • Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1285423830
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.032055 Issued in IL
Practice address
2550 Hauser Ross Dr Ste 350
Sycamore, IL 60178-3181
Phone
(815) 758-7700
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 209.032055 IL Primary

Addresses

Primary practice location

2550 Hauser Ross Dr Ste 350
Sycamore, IL 60178-3181

Mailing address

341 Suffolk Dr
Crystal Lake, IL 60014-7649
Phone (847) 857-0071

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
I20250725003058 IL Practitioner - Nurse Practitioner 8224545108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032055ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Cardiology Solutions LLC CurrentSince Jun 17, 2025 Accepting new patients

Locations

2550 Hauser Ross Dr
Ste 325
Sycamore, IL 60178
Phone (815) 758-7700

2550 Hauser Ross Dr
Ste 350
Sycamore, IL 60178
Phone (815) 754-5010

Organizations & group practices 1

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1285423830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SUFFOLK DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147649",
            "telephone_number": "847-857-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR STE 350",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783181",
            "telephone_number": "815-758-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.032055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.