Individual provider Active NPI

Angelia C Stewart, NP

  • Nurse Practitioner
  • Urbana, IL
National Provider Identifier
1700281342
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012303 Issued in IL
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

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211001739 IL Practitioner - Nurse Practitioner 7810212958 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP CurrentSince Apr 25, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Mar 2, 2020 Accepting new patients
Promise Healthcare NFP CurrentSince Apr 25, 2023 Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Eaves Health Partners PLLC CurrentSince Nov 1, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Gerio Primary Care PC CurrentSince Jan 1, 2025 Accepting new patients
Gerio Primary Care PastSince Feb 1, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD
  • Direct secure messaging: angelia.stewart.p11@direct.fhn-fqhc.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.