Individual provider Active NPI

Angela Kastl

  • Family Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1679961163
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.012353 Issued in IL
Practice address
1445 N Hunt Club Rd
Gurnee, IL 60031-2603
Phone
(847) 249-2800
Fax
(847) 855-0766
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.012353 IL Primary

Addresses

Primary practice location

1445 N Hunt Club Rd
Gurnee, IL 60031-2603

Mailing address

1445 N Hunt Club Rd
Gurnee, IL 60031-2603
Phone (847) 249-2800

Other names 1

  • Angela Ratliff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150529001735 TX Practitioner - Nurse Practitioner 5496071714 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oleander Emergency Medicine Associates PAGroup PAC ID 1759544232, 23 clinicians
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
89.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.012353ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conner Emergency Medicine Associates, PA CurrentSince Mar 1, 2020 Accepting new patients
Pearsall Emergency Medicine Associates, PA CurrentSince Sep 29, 2021 Accepting new patients
Guadalupe Emergency Medicine Associates, PA CurrentSince Mar 1, 2020 Accepting new patients
Gulf Coast Emergency Physicians, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Oleander Emergency Medicine Associates PA CurrentSince May 5, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

13600 Horizon Blvd
Horizon City, TX 79928
Phone (915) 206-8357

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

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.

Hospital & facility affiliations 1

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1679961163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-249-2800",
            "fax_number": "847-855-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-249-2800",
            "fax_number": "847-855-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTL",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.012353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "RATLIFF",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.