Individual provider Active NPI

Angela M Stralow, NP

  • Family Nurse Practitioner
  • Milledgeville, IL
National Provider Identifier
1871011635
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016396 Issued in IL
Practice address
601 E Old Mill St
Milledgeville, IL 61051-9221
Phone
(815) 225-5040
NPI assigned
Aug 31, 2017
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 209.016396 IL Primary

Addresses

Primary practice location

601 E Old Mill St
Milledgeville, IL 61051-9221

Mailing address

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 632-5285

Other practice location 1

212 E Railroad St
Prophetstown, IL 61277-1222
Phone (815) 632-5285

Other names 1

  • Angela M Wiersema Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.stralow.p1@direct.cghmc.nextgenshare.com

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
I20171107001124 IL Practitioner - Nurse Practitioner 2062778129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790

601 E Old Mill St
Milledgeville, IL 61051-9221
Phone (815) 225-6040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016396ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Oct 2, 2017 Accepting new patients
CGH Medical Center CurrentSince Oct 2, 2017 Accepting new patients
CGH Medical Center Current Accepting new patients

Locations

601 E Old Mill St
Milledgeville, IL 61051
Phone (815) 225-5040

212 E Railroad St
Prophetstown, IL 61277
Phone (815) 537-5050

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: astralow19433@cghmc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1871011635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MILLER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811252",
            "telephone_number": "815-632-5285",
            "fax_number": "815-632-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E OLD MILL ST",
            "city": "MILLEDGEVILLE",
            "state": "IL",
            "postal_code": "610519221",
            "telephone_number": "815-225-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 E Railroad St",
            "address_purpose": "LOCATION",
            "city": "Prophetstown",
            "state": "IL",
            "postal_code": "612771222",
            "country_code": "US",
            "telephone_number": "815-632-5285",
            "fax_number": "815-632-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRALOW",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.stralow.p1@direct.cghmc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "212 E Railroad St",
            "city": "Prophetstown",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612771222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WIERSEMA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milledgeville, IL

Sources for this page

Verify at the official NPI Registry.