ANGELA ROSE DEPA
NPI 1194291237
Nurse Practitioner - Family in Long Grove, IL

Q: What is Angela Depa's NPI number?

The NPI number for Angela Depa is 1194291237. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Q: What is Angela Depa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Depa was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2018PECOS EnrolledAccepts Medicare Assignment

3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047(847) 719-2220(847) 719-2265 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2021, Nov 23, 2018, Oct 16, 2018 (3 updates tracked since 2018).

On this page

About Angela Rose Depa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA ROSE DEPA (NPI 1194291237) is an individual family provider in Long Grove, Illinois, licensed in Illinois (209018117) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Shepherd Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194291237

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELA ROSE DEPA

Location Address3880 SALEM LAKE DR STE FLong Grove, IL 60047-5292

Mailing Address3880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · (847) 719-2220 · Fax (847) 719-2265

Phone(847) 719-2220

Fax(847) 719-2265

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 16, 2018

Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1194291237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209018117

3880 SALEM LAKE DR STE F, Long Grove, IL 60047

Open in Google Maps ↗

Other Identifiers 2

Medicaid209018117IL

Other2018012582IL · Certification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Rose Depa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921344896

PECOS Enrollment IDI20190114002392

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

38 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELEN E OKORIE NP

Nurse Practitioner (Adult Health)