Individual provider Active NPI

Angela R Frenette, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1477616472
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.028948 Issued in IL
Practice address
1909 Ogden Ave Ste a
Downers Grove, IL 60515-2602
Phone
(630) 750-7920
Fax
(715) 726-3504
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.028948 IL Primary

Addresses

Primary practice location

1909 Ogden Ave Ste a
Downers Grove, IL 60515-2602

Mailing address

1909 Ogden Ave Ste a
Downers Grove, IL 60515-2602
Phone (630) 750-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231219002070 IL Practitioner - Nurse Practitioner 3971953829
I20260129002085 WI Practitioner - Nurse Practitioner 3971953829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danielle Golden, Crna, PAGroup PAC ID 6305934597, 30 clinicians

Practice addresses (Care Compare)

4106 Oakwood Hills Pkwy
Eau Claire, WI 54701-7727
Phone (952) 431-5330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.028948ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Hub, LLC CurrentSince Dec 1, 2023 Accepting new patients
Danielle Golden, Crna, PA CurrentSince Mar 1, 2026 Accepting new patients
Valley Mental Health, LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1909 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 750-7920

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

4106 Oakwood Hills Pkwy
Eau Claire, WI 54701

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1477616472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 OGDEN AVE STE A",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152602",
            "telephone_number": "630-750-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 OGDEN AVE STE A",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152602",
            "telephone_number": "630-750-7920",
            "fax_number": "715-726-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENETTE",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.028948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.