Individual provider Active NPI

Angelica J McGough, APRN, CNP

  • Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1780007567
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
299524 Issued in AZ
Practice address
3000 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7802
Phone
(949) 484-9517
Fax
(949) 569-1295
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1087339 TX
Nurse Practitioner 363L00000X TPAN1700 FL
Nurse Practitioner 363L00000X 11236 MN
Nurse Practitioner 363L00000X CP003342 SD
Nurse Practitioner 363L00000X 32862 TN
Nurse Practitioner 363L00000X 4026818 KY
Nurse Practitioner 363L00000X 211644 OK
Nurse Practitioner 363L00000X 209011217 IL
Nurse Practitioner 363L00000X 10012101 OR
Nurse Practitioner 363L00000X APRN04193 RI
Nurse Practitioner 363L00000X 95025082 CA
Nurse Practitioner 363L00000X RN2369078 MA
Nurse Practitioner 363L00000X 11842 CT
Nurse Practitioner 363L00000X 299524 AZ Primary
Nurse Practitioner 363L00000X 353421 NY

Addresses

Primary practice location

3000 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7802

Mailing address

25 N Winfield Rd Ste 2202
Winfield, IL 60190-1379
Phone (630) 933-4847

Other practice location 1

2719 S El Camino Real
San Clemente, CA 92672-3354
Phone (949) 484-9517

Other practice location 2

9 Centennial Dr Ste 233
Peabody, MA 01960-7939
Phone (949) 484-9517

Other practice location 3

635 Main St Ste 206A
Klamath Falls, OR 97601-6007
Phone (949) 484-9517

Other practice location 4

1840 Pyramid Pl Ste 237
Memphis, TN 38132-1703
Phone (949) 484-9517

Other practice location 5

2025 Memory Ln Ste 300
Harker Heights, TX 76548-7488
Phone (949) 484-9517

Other practice location 6

25 N Winfield Rd Ste 2202
Winfield, IL 60190-1379
Phone (630) 933-4847

Other practice location 7

400 Union Ave SE Ste 240
Olympia, WA 98501-2060
Phone (949) 484-9517

Other practice location 8

3499 Blazer Pkwy Ste 325
Lexington, KY 40509-2798
Phone (949) 484-9517

Other identifiers 2

IdentifierTypeStateIssuer
F400134207OtherILMEDICARE PTAN (INDIVIDUAL)
206147OtherILMEDICARE PTAN (GROUP)

Other names 1

  • Angelica Montes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA, OR, AZ, TN, TX, CA, KY8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20140509001045 IL Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization
I20230324000983 MA Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 2 organizations
I20240625003676 OR Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization
I20240626001011 AZ Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization
I20240627001790 TN Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization
I20240702004673 TX Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization
I20241125003380 CA Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization
I20241230002874 KY Practitioner - Nurse Practitioner 0446483812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

25 N Winfield Rd
Winfield, IL 60190-1295

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32862TXMDClinical Child & Adolescent Psychologist
11842CTMDDentist
TPAN1700FLMDNurse Practitioner
11236MNMDNurse Practitioner
353421NYMDNurse Practitioner
211644OKMDNurse Practitioner
APRN04193RIMDNurse Practitioner
CP003342SDMDNurse Practitioner
1087339TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 1, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 1, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 8, 2013 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 8, 2013 Accepting new patients
Jonathan Larson MD PC CurrentSince May 1, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Central Texas Holistic Care PLLC Family PastSince Aug 25, 2024 Accepting new patients

Locations

3000 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 282-4078

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

3865 Jasmine Ave
Culver City, CA 90232
Phone (310) 839-4381

Dept 5777
Carol Stream, IL 60122

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

25 N Winfield Rd
Ste 2202
Winfield, IL 60190
Phone (630) 352-5450

3499 Blazer Pkwy
Ste 325
Lexington, KY 40509

9 Centennial Dr
Ste 233
Peabody, MA 01960

3500 Comanche Rd NE
Ste 15A
Albuquerque, NM 87107

2505 Anthem Village Dr
Ste E
Henderson, NV 89052

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

2505 Anthem Village Dr
Henderson, NV 89052

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

1840 Pyramid Pl
Ste 237
Memphis, TN 38132

1840 Pyramid Pl
Memphis, TN 38132
Phone (662) 687-1536

2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802

400 Union Ave SE
Ste 240
Olympia, WA 98501

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 2

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1780007567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 2202",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-4847",
            "fax_number": "630-933-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N LITCHFIELD RD STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957802",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723354",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Centennial Dr Ste 233",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607939",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Main St Ste 206A",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016007",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Pyramid Pl Ste 237",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381321703",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Memory Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765487488",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd Ste 2202",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-4847",
            "fax_number": "630-933-3826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Union Ave SE Ste 240",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012060",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3499 Blazer Pkwy Ste 325",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092798",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "ANGELICA",
        "middle_name": "J",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1087339",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "TPAN1700",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "11236",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP003342",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32862",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4026818",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "211644",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011217",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10012101",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN04193",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2369078",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11842",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "299524",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "353421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "F400134207",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "MONTES",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.