Angela Jane Arcuri, FNP
Individual provider Active NPI Family Nurse Practitioner · Mount Vernon, IL
NPI 1861021883 · NPPES record last updated Apr 2, 2020
Key facts
- NPI
- 1861021883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209021102 (IL)
- Practice address
- 4230 Lincolnshire Dr Ste a
Mount Vernon, IL 62864-2189 - Phone
- (618) 899-3710
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Regional Health Center
St Marys Hospital Centralia Illinois
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200521000957 | IL | Practitioner - Nurse Practitioner | 5799116083 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021102 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
4106 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 242-8900
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
4230 Lincolnshire Dr
Ste A
Mount Vernon, IL 62864
Phone (618) 244-6222
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
Interoperability endpoints
- aarcuri43202@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021102 | IL | Yes |
Addresses
Primary practice location
4230 Lincolnshire Dr Ste a
Mount Vernon, IL 62864-2189
Mailing address
4230 Lincolnshire Dr Ste a
Mount Vernon, IL 62864-2189
Other providers in Mount Vernon, IL
- Sarah Anderson
- Carla Jenell Andrews
- Anesthesia Associates of Southern Illinois Surgery Center LLC
- Anesthesia Associates of Southern Illinois, LLC
- Ferdinand Valencia Apostol
- Wendel Arms
- Arthritis Clinic, LTD.
- Asbery and Associates OB GYN LLC
- David S Asbery
- McKynzi Ash
All providers in Mount Vernon, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.