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MR. ANGELITO DARIEL TACDERAS APN
NPI 1467785014
Nurse Practitioner in Marion, IL

Active since September 15, 2009PECOS EnrolledAccepts Medicare Assignment
3331 W DEYOUNG ST, STE 308, MARION, IL 62959(618) 997-1200(618) 997-1212 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Angelito Dariel Tacderas Apn NPPES

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

MR. ANGELITO DARIEL TACDERAS APN (NPI 1467785014) is an individual nurse practitioner in Marion, Illinois, licensed in Illinois (209.007762) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Anna Hospital Corporation D/b/a Union County Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467785014
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. ANGELITO DARIEL TACDERASCredential: APN
Location Address3331 W DEYOUNG ST, STE 308Marion, IL 62959-5896
Mailing AddressPo Box 430Marion, IL 62959-0430 · (618) 997-1200 · Fax (618) 997-1212
Phone(618) 997-1200
Fax(618) 997-1212
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 15, 2009
✔ NPI 1467785014 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 · 209.007762
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.
3331 W DEYOUNG ST, Marion, IL 62959
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Other Identifiers 2

MedicaidPENDINGIL
Medicare PINPENDINGIL

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

Mr. Angelito Dariel Tacderas 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 ID6406987643
PECOS Enrollment IDI20100701000503
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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
110 services37 patients

Hospital Affiliations CMS Care Compare

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

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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 20

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

SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Family Medicine
3331 W DEYOUNG ST, SUITE 305
MARION, IL 62959
Williamson County (618) 998-7000
DR. PARAG ARVIND MADHANI MD
Internal Medicine (Cardiovascular Disease)
3331 W DEYOUNG ST, SUITE 100
MARION, IL 62959
Williamson County (618) 998-7600
ALLAN C GOCIO MD NEUROSURGICAL CARE, LLC
Neurological Surgery
3331 W DEYOUNG ST, STE 308
MARION, IL 62959
Williamson County (618) 997-1200
HEARTLAND RURAL HEALTHCARE, LLC
Family Medicine
3331 W DEYOUNG ST
MARION, IL 62959
Williamson County (618) 998-7000
ALI SALIMI MD
Internal Medicine (Interventional Cardiology)
3331 W DEYOUNG ST, STE 308
MARION, IL 62959
Williamson County (618) 998-0052
HEARTLAND RURAL HEALTHCARE, LLC
Family Medicine
3331 W DEYOUNG ST, SUITE 207
MARION, IL 62959
Williamson County (618) 985-9140
RIVER TO RIVER HEART GROUP, LLC
Internal Medicine
3331 W DEYOUNG ST, SUITE 203
MARION, IL 62959
Williamson County (618) 997-4733
SHERRI K PARR PA-C
Physician Assistant
3331 W DEYOUNG ST, SUITE 201
MARION, IL 62959
Williamson County (618) 998-9888

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 Angelito Tacderas's NPI number?

The NPI number for Angelito Tacderas is 1467785014. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Angelito Tacderas located?

Angelito Tacderas practices at 3331 W Deyoung St Ste 308, Marion, IL 62959. The listed phone number is (618) 997-1200.

What is Angelito Tacderas's specialty?

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

Is Angelito Tacderas enrolled in Medicare?

Yes. Angelito Tacderas 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 Angelito Tacderas affiliated with any hospitals?

According to CMS data, Angelito Tacderas is affiliated with Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for Angelito Tacderas was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.