ANGELA POBLOCKI
NPI 1982133294
Physician Assistant in Bartonville, IL

Q: What is Angela Poblocki's NPI number?

The NPI number for Angela Poblocki is 1982133294. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Angela Poblocki's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Poblocki was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 08, 2017PECOS EnrolledAccepts Medicare Assignment

1506 W GARFIELD AVE, BARTONVILLE, IL 61607(309) 697-2416 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2025, Jun 8, 2017 (2 updates tracked since 2017).

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About Angela Poblocki NPPES

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

ANGELA POBLOCKI (NPI 1982133294) is an individual physician assistant in Bartonville, Illinois and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1982133294

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGELA POBLOCKI

Location Address1506 W GARFIELD AVEBartonville, IL 61607-1755

Mailing Address5723 N Autumn Ridge Ct Apt CPeoria, IL 61615-3078

Phone(309) 697-2416

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2017

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1982133294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1506 W GARFIELD AVE, Bartonville, IL 61607

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Secondary Practice Location 1

Location 11419 Salt Springs RdSyracuse, NY 13214-1302 · Phone (315) 445-4100

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 Poblocki 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 ID5890131353

PECOS Enrollment IDI20240307001138

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 3

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140013

Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County

Emergency services

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140120

Location600 South 13th StreetPekin, IL 61554 · Tazewell County

Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61607 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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 6

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

MRS. PATRICIA J ESTEP CFNP

Nurse Practitioner (Family)