Angela K Conklin, APN/CNP

Key facts

NPI

1508050683

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

209006719 (IL)

Practice address

1120 Healthcare Dr
Mount Carroll, IL 61053-1461

Phone

(815) 244-4181

Fax

(815) 244-4185

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

No

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.

• Cardiorenal Therapeutics of Illinois PLLC Nephrology Physician · Oakbrook Terrace, IL · NPI 1336752682
  Medicare reassignment Care Compare group NPD IL
• Freeport Regional Health Care Foundation Family Medicine Physician · Freeport, IL · NPI 1457337016
  Medicare reassignment Care Compare group IL
• Freeport Regional Health Care Foundation Durable Medical Equipment & Medical Supplies · Freeport, IL · NPI 1003068909
  Care Compare group
• Freeport Regional Health Care Foundation Durable Medical Equipment & Medical Supplies · Freeport, IL · NPI 1043355100
  Care Compare group
• Freeport Regional Health Care Foundation Durable Medical Equipment & Medical Supplies · Lena, IL · NPI 1174667430
  Care Compare group
• Freeport Memorial Hospital Health Educator · Freeport, IL · NPI 1326880386
  NPD (past)
• Freeport Regional Health Care Foundation Durable Medical Equipment & Medical Supplies · Mount Carroll, IL · NPI 1972647329
  NPD (past)

Hospital & facility affiliations 3

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

• Castor Home Nursing Inc Home Health Agency · Sterling, IL · NPI 1902390669
  Care Compare affiliation Home health agency
• CGH Medical Center General Acute Care Hospital · Sterling, IL · NPI 1902854623
  Care Compare affiliation Hospital
• Freeport Memorial Hospital General Acute Care Hospital · Freeport, IL · NPI 1447228788
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Regional Health Care Foundation (86 clinicians)
Cardiorenal Therapeutics of Illinois PLLC (32 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Castor Home Nursing Inc Home health agency · Sterling, IL · CCN 148383
• FHN Memorial Hospital Hospital · Freeport, IL · CCN 140160
• CGH Medical Center Hospital · Sterling, IL · CCN 140043

Merit-based Incentive Payment System (MIPS)

Final score

83.84 of 100 (group)

Quality

75.22

Promoting interoperability

92

Improvement activities

40

Cost

73.11

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Practitioner

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2017.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1508050683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W EXCHANGE ST",
            "address_2": "PO BOX 268",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324008",
            "telephone_number": "815-599-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HEALTHCARE DR",
            "city": "MOUNT CARROLL",
            "state": "IL",
            "postal_code": "610531461",
            "telephone_number": "815-244-4181",
            "fax_number": "815-244-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "ANGELA",
        "middle_name": "K",
        "credential": "APN/CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "209-006719",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carroll, IL

• Jeremy Caleb Bleuer, B.A.
• Katelin Marie Breuning
• Carroll County Health Department
• Sharon Kay Chadwick
• Complete Compassionate Care Inc.
• County of Carroll
• Tymi Lynn Currens
• Deyo Chiropractic Center LTD
• Ronald Adrian Deyo, DC
• Christopher Gene Dinning, D.C.

All providers in Mount Carroll, IL · Family Nurse Practitioner in Illinois