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BLAIR NICOLE ANGEL FNP
NPI 1649612771
Nurse Practitioner - Family in Pana, IL

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
101 E 9TH ST, PANA, IL 62557(217) 562-6246(217) 562-6288 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blair Nicole Angel Fnp NPPES

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

BLAIR NICOLE ANGEL FNP (NPI 1649612771) is an individual family provider in Pana, Illinois, licensed in Illinois (041354011) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649612771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLAIR NICOLE ANGELCredential: FNP
Location Address101 E 9TH STPana, IL 62557-1716
Mailing Address101 E 9th StPana, IL 62557-1716 · (217) 562-6246 · Fax (217) 562-6288
Phone(217) 562-6246
Fax(217) 562-6288
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2013
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1649612771 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 · 041354011
101 E 9TH ST, Pana, IL 62557
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Blair Nicole Angel Fnp 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 ID2264661321
PECOS Enrollment IDI20140212001495
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.

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62557 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

GARRETT CLAXON PT, DPT
Physical Therapist
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6328
ABDUR RAHMAN FUZAIL AHMAD
Internal Medicine (Clinical Cardiac Electrophysiology)
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-2131
JODI R SMITH PTA
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6328
STACY J VAIL PTA
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6328
PANA COMMUNITY HOSPITAL ASSOCIATION
Family Medicine
101 E 9TH ST, SUITE 105
PANA, IL 62557
Christian County (217) 562-2544
ALLISON LEANNE BEYERS FNP-C
Nurse Practitioner (Family)
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-2131
MR. MARLON TAN MUNESES MD
Family Medicine
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-2544
MS. LAURIE DOBRINICH LCSW
Social Worker (Clinical)
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6246

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 Blair Angel's NPI number?

The NPI number for Blair Angel is 1649612771. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Blair Angel located?

Blair Angel practices at 101 E 9th St, Pana, IL 62557. The listed phone number is (217) 562-6246.

What is Blair Angel's specialty?

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

Is Blair Angel enrolled in Medicare?

Yes. Blair Angel 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.

What insurance does Blair Angel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Blair Angel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Blair Angel affiliated with any hospitals?

According to CMS data, Blair Angel is affiliated with Memorial Medical Center and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Blair Angel was last updated on February 17, 2021. 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.