Individual provider Active NPI

Angela Katherine Schloer, FNP

  • Nurse Practitioner
  • Red Bud, IL
National Provider Identifier
1992971535
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209010687 Issued in IL
Practice address
325 Spring St
Red Bud, IL 62278-1105
Phone
(618) 282-7373
Fax
(618) 282-5476
NPI assigned
May 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R141147-8 MN
Registered Nurse 163W00000X 041411250 IL
Family Nurse Practitioner 363LF0000X R141147-8 MN
Family Nurse Practitioner 363LF0000X 209010687 IL
Nurse Practitioner 363L00000X 209010687 IL Primary

Addresses

Primary practice location

325 Spring St
Red Bud, IL 62278-1105

Mailing address

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-5404

Other names 1

  • Ms. Angela Katherine Hendrickson 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
I20140310001911 IL Practitioner - Nurse Practitioner 9335379445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Bud Illinois Hospital Company LLCGroup PAC ID 2466416821, 15 clinicians
Deaconess Illinois Red Bud Regional Hospital IncGroup PAC ID 9537531579, 15 clinicians

Practice addresses (Care Compare)

325 Spring St
Red Bud, IL 62278-1105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041411250ILMDRegistered Nurse
R141147-8MNMDRegistered Nurse
209010687ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Red Bud Regional Hospital Inc CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Red Bud Regional Hospital Inc Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Red Bud Illinois Hospital Company LLC Past Accepting new patients
Family Practice Associates, PC Past Accepting new patients

Locations

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010

325 Spring St
#2
Redbud, IL 62278
Phone (314) 835-0001

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

509 Hamacher St
Ste 102
Waterloo, IL 62298
Phone (618) 798-8405

509 Hamacher St
Ste 204
Waterloo, IL 62298
Phone (618) 939-4200

Interoperability endpoints

  • Direct secure messaging: angela_schloer-np@yourcarecommunity.org
  • Direct secure messaging: angela.schloer.1@27782.direct.athenahealth.com

Organizations & group practices 6

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": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1992971535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-5404",
            "fax_number": "618-282-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-7373",
            "fax_number": "618-282-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOER",
        "first_name": "ANGELA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R141147-8",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041411250",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R141147-8",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010687",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209010687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HENDRICKSON",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Bud, IL

Sources for this page

Verify at the official NPI Registry.