REGINA ANGELEYNE TAN PA-C
NPI 1851174353
Physician Assistant - Surgical in Palos Heights, IL

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment

12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463(708) 923-4200(708) 923-4201 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Apr 10, 2025, Aug 17, 2023 (3 updates tracked since 2023).

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About Regina Angeleyne Tan Pa-c NPPES

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

REGINA ANGELEYNE TAN PA-C (NPI 1851174353) is an individual surgical provider in Palos Heights, Illinois, licensed in Illinois (085010064) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1851174353

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameREGINA ANGELEYNE TANCredential: PA-C

Location Address12251 S 80TH AVE STE 1520Palos Heights, IL 60463-1290

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700

Phone(708) 923-4200

Fax(708) 923-4201

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 17, 2023

Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1851174353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085010064

Also ListedPhysician AssistantTaxonomy 363A00000X

12251 S 80TH AVE STE 1520, Palos Heights, IL 60463

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Secondary Practice Location 1

Location 12650 Ridge AveEvanston, IL 60201-1700 · Phone (847) 570-2827

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

Regina Angeleyne Tan Pa-c 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 ID4082064803

PECOS Enrollment IDI20231220000842

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

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

Other Providers at the Same Location NPPES 19

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

THOMAS F. GUTCHEWSKY APN, CNP

Nurse Practitioner