Individual provider Active NPI

Angelina R McClain, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1306277405
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000729 Issued in IL
Practice address
1235A N Clybourn Ave # 210
Chicago, IL 60610-1707
Phone
(630) 371-0133
Fax
(630) 371-0138
NPI assigned
Nov 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004822A IN
Family Nurse Practitioner 363LF0000X 277000729 IL Primary

Addresses

Primary practice location

1235A N Clybourn Ave # 210
Chicago, IL 60610-1707

Mailing address

PO Box 2357
Calumet City, IL 60409-8357
Phone (773) 609-2473

Other practice location 1

757 45th St Ste 201
Munster, IN 46321-2912
Phone (219) 922-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151103002570 IN Practitioner - Nurse Practitioner 5193952133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiorenal Vision of Indiana LLCGroup PAC ID 1850894544, 6 clinicians

Practice addresses (Care Compare)

320 N Meridian St
FL 3
Indianapolis, IN 46204-1719
Phone (773) 276-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277000729ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiorenal Vision of Indiana LLC CurrentSince Dec 1, 2025 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Vpa PC Past Accepting new patients

Organizations & group practices 6

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": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1306277405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604098357",
            "telephone_number": "773-609-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235A N CLYBOURN AVE # 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101707",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 45th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212912",
            "country_code": "US",
            "telephone_number": "219-922-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ANGELINA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004822A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.