ANGELA HOLT BLACKBURN APRN, CNP
NPI 1780646406
Nurse Practitioner in Palos Heights, IL

Q: What is Angela Blackburn's NPI number?

The NPI number for Angela Blackburn is 1780646406. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Angela Blackburn'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 Blackburn was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 06, 2006PECOS EnrolledAccepts Medicare Assignment

12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-4000(708) 226-2390 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Apr 24, 2018 (2 updates tracked since 2018).

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About Angela Holt Blackburn Aprn, Cnp NPPES

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

ANGELA HOLT BLACKBURN APRN, CNP (NPI 1780646406) is an individual nurse practitioner in Palos Heights, Illinois, licensed in Illinois (209034971) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780646406

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELA HOLT BLACKBURNCredential: APRN, CNP

Location Address12251 S 80TH AVEPalos Heights, IL 60463-1290

Mailing Address12251 S 80th AvePalos Heights, IL 60463-1290 · (708) 923-4000 · Fax (708) 226-2390

Phone(708) 923-4000

Fax(708) 226-2390

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 6, 2006

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1780646406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 209034971✔ Licensed in NC · 145108

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 145108 (NC)

12251 S 80TH AVE, Palos Heights, IL 60463

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Angela Holt Blackburn Aprn, Cnp 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 ID547249385

PECOS Enrollment IDI20040715001129, I20260527002337

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services12 patients

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.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

MATTHEW SCOTT KOMINSKY MD

Anesthesiology

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4000

NOOR BADER APRN, CRNA

Nurse Anesthetist, Certified Registered

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-3936

DR. JOSEPH C BREMER JR. M.D.

Emergency Medicine

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5800

MARIKAY T GAZDA LCSW

Social Worker (Clinical)

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4941

MICHAEL J BAUTISTA M.D.

Anesthesiology

12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5700

VALERIE SAFFAR APRN, CNP

Nurse Practitioner

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5869

WINSTON DANG MD

Hospitalist

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4000

EMILY MACKANIN PT

Physical Therapist

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-3368

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 Blackburn's NPI number?

The NPI number for Angela Blackburn is 1780646406. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Angela Blackburn located?

Angela Blackburn practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-4000.

What is Angela Blackburn's specialty?

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

Is Angela Blackburn enrolled in Medicare?

Yes. Angela Blackburn 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 Angela Blackburn accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Angela Blackburn 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 Angela Blackburn affiliated with any hospitals?

According to CMS data, Angela Blackburn is affiliated with Palos Community Hospital and Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Angela Blackburn was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.