Active NPI
Angelia C Stewart, NP
- Nurse Practitioner
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209012303
- Practice address
- 611 W. Park St
Urbana, IL 61801 - Phone
- (217) 383-6792
- NPI assigned
- Oct 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209012303 | IL | Primary |
Addresses
Primary practice location
611 W. Park St
Urbana, IL 61801
Mailing address
611 W Park
Fapc
Champaign, IL 61802
Phone (217) 902-6954
Other practice location 1
800 E Northwest Hwy Ste 106B
MT Prospect, IL 60056-3457
Phone (815) 326-5262
Other names 1
- Angelia Burroughs
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Eaves Health Partners PLLC | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Gerio Primary Care PC | Current | Accepting new patients | |
| Gerio Primary Care | Past | Accepting new patients |
Locations
821 S Neil St
Champaign, IL 61820
Phone (217) 356-1558
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
200 Richmond Ave E
Mattoon, IL 61938
Phone (217) 234-7000
200 Richmond Ave E
Ste 1
Mattoon, IL 61938
Phone (217) 234-7000
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
5151 Church St
Skokie, IL 60077
Phone (773) 436-6600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEEBDD
- angelia.stewart.p11@direct.fhn-fqhc.nextgenshare.com
- astewartaprn423260@carlehiedirect.net
Organizations & group practices 9
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.
-
- Clinical Social Worker
- Skokie, IL
- NPI 1639847551
-
- Geriatric Medicine (Family Medicine) Physician
- Beckemeyer, IL
- NPI 1700578846
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1043936438
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1700681459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1700281342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK",
"address_2": "FAPC",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61802",
"telephone_number": "217-902-6954",
"fax_number": "217-902-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W. PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-6792"
}
],
"practiceLocations": [
{
"address_1": "800 E Northwest Hwy Ste 106B",
"address_purpose": "LOCATION",
"city": "MT Prospect",
"state": "IL",
"postal_code": "600563457",
"country_code": "US",
"telephone_number": "815-326-5262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "ANGELIA",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2024-12-12",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209012303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELIA",
"last_name": "BURROUGHS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.