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DR. ANGELA LYNN NEESE PHD
NPI 1215544754
Psychologist - Clinical in Peoria, IL

Active since September 29, 2020PECOS Enrolled
7317 N WILLOW LAKE CT, PEORIA, IL 61614(309) 691-4408 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Angela Lynn Neese Phd NPPES

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

DR. ANGELA LYNN NEESE PHD (NPI 1215544754) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (071.010328) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215544754
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANGELA LYNN NEESECredential: PHD
Location Address7317 N WILLOW LAKE CTPeoria, IL 61614-8227
Mailing Address524 W Horseshoe TrlEdelstein, IL 61526-9722 · (309) 243-7204
Phone(309) 691-4408
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1215544754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.010328
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7317 N WILLOW LAKE CT, Peoria, IL 61614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Lynn Neese Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557771466
PECOS Enrollment IDI20201104002250
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 13

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

STEVEN LEROY THORNTON MD
Internal Medicine
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
KYLE W BOERKE PSYD
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
TIMOTHY DREW
Counselor (Professional)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. CHRISTINA WHITAKER PH.D., LCP
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
ANENE NNAJIEGO ACHEBE APRN,CNP
Nurse Practitioner (Psychiatric/Mental Health)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
RENAE D MILHOAN APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
SOHEE LEE
Psychologist
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. KARA SUE CICCIARELLI PHD, NCSP, LCP
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Neese's NPI number?

The NPI number for Angela Neese is 1215544754. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Angela Neese located?

Angela Neese practices at 7317 N Willow Lake Ct, Peoria, IL 61614. The listed phone number is (309) 691-4408.

What is Angela Neese's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Angela Neese enrolled in Medicare?

Yes. Angela Neese is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Neese was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.