Blair Nicole Angel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041354011 Issued in IL

Practice address

101 E 9TH St
Pana, IL 62557-1716

Phone

(217) 562-6246

Fax

(217) 562-6288

NPI assigned

Jul 17, 2013

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pana Community Hospital AssociationGroup PAC ID 3274437348, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pana Community Hospital Hospital, Pana, IL, CCN 141341

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blair.angel@pana.cernerdirect.com

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

• Pana Community Hospital Association

  • Critical Access Hospital
  • Pana, IL
  • NPI 1942326970
  Medicare reassignment Care Compare group NPD
• Pana Community Hospital Association

  dba Ramsey Medical Group

  • Rural Health Clinic/Center
  • Ramsey, IL
  • NPI 1598597726
  NPD
• Pana Community Hospital Association

  dba Community Medical Clinic of Pana

  • Rural Health Clinic/Center
  • Pana, IL
  • NPI 1235225236
  NPD (past)
• Pana Community Hospital Association

  dba Community Medical Clinic of Nokomis

  • Rural Health Clinic/Center
  • Nokomis, IL
  • NPI 1861942344
  NPD (past)

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

• Pana Community Hospital Association

  • Critical Access Hospital
  • Pana, IL
  • NPI 1942326970
  Care Compare affiliation

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1649612771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-6246",
            "fax_number": "217-562-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-6246",
            "fax_number": "217-562-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "BLAIR",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041354011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blair.angel@pana.cernerdirect.com",
            "affiliation": "N",
            "address_1": "101 E 9th St",
            "city": "Pana",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625571716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abdur Rahman Fuzail Ahmad
• Debra L Anklam, APN
• Demosthenes Asuncion, MD
• Maiden Louise Axalan Bacolod, PT
• Jennifer L Beck, RPH
• Karen M Beck, MOT, OTR/L, CLT

• Family Nurse Practitioner in Pana, IL
• Providers in Pana, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.