Active NPI
Angela Heuerman, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Freeport, IL
National Provider Identifier
1669721213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209-020517
- Practice address
- 421 W Exchange St
Freeport, IL 61032-4008 - NPI assigned
- Aug 29, 2012
- Last updated
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-364362 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209-020517 | IL | Primary |
Addresses
Primary practice location
421 W Exchange St
Freeport, IL 61032-4008
Mailing address
1566 Chadbourne Dr
Davis, IL 61019-9643
Phone (815) 713-9983
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1641 N Alpine Rd
Suite 207
Rockford, IL 61107-1458
Phone (630) 974-6602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-364362 | IL | MD | Registered Nurse |
| 209-020517 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Clinical Services PLLC | Current | Accepting new patients |
Locations
1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867
1641 N Alpine Rd
Ste 207
Rockford, IL 61107
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1669721213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1566 CHADBOURNE DR",
"city": "DAVIS",
"state": "IL",
"postal_code": "610199643",
"telephone_number": "815-713-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W EXCHANGE ST",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610324008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUERMAN",
"first_name": "ANGELA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-364362",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209-020517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.