ANGELA DAWN HERNDON APN
NPI 1265548986
Nurse Practitioner in Breese, IL

Q: What is Angela Herndon's NPI number?

The NPI number for Angela Herndon is 1265548986. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Angela Herndon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Herndon was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 23, 2006PECOS EnrolledAccepts Medicare Assignment

397 NORTH PLUM STREET, BREESE, IL 62230(618) 526-4700(618) 566-7121 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angela Dawn Herndon Apn NPPES

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

ANGELA DAWN HERNDON APN (NPI 1265548986) is an individual nurse practitioner in Breese, Illinois, licensed in Illinois (041328145) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1265548986

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELA DAWN HERNDONCredential: APN

Location Address397 NORTH PLUM STREETBreese, IL 62230-9998

Mailing Address397 North Plum StreetBreese, IL 62230-9998 · (618) 526-4700 · Fax (618) 566-7121

Phone(618) 526-4700

Fax(618) 566-7121

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 23, 2006

Last NPPES UpdateSeptember 20, 2024

✔ NPI 1265548986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 041328145

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

397 NORTH PLUM STREET, Breese, IL 62230

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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 and accepts Medicare assignment

Angela Dawn Herndon Apn 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 ID5496775678

PECOS Enrollment IDI20051202000177

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services58 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

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 Herndon's NPI number?

The NPI number for Angela Herndon is 1265548986. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Angela Herndon located?

Angela Herndon practices at 397 North Plum Street, Breese, IL 62230. The listed phone number is (618) 526-4700.

What is Angela Herndon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Angela Herndon enrolled in Medicare?

Yes. Angela Herndon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Angela Herndon affiliated with any hospitals?

According to CMS data, Angela Herndon is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Angela Herndon was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.