ANGELICA SOTO (MSN,APRN,PMHNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063235505

ANGELICA SOTO (MSN,APRN,PMHNP-C) is a healthcare provider. based in Carpentersville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN,APRN,PMHNP-C. They hold a License No. 209.030796 (IL). The NPI Number for ANGELICA SOTO (MSN,APRN,PMHNP-C) is 1063235505

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ANGELICA SOTO (MSN,APRN,PMHNP-C)
NPI
1063235505
Phone
(224) 856-9157
Address
5403 CLEARY CT
Enumeration Date
4 November 2024
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154449999
Graduation Year
2024 (2 years ago)
PAC ID
7113440470
Group Practice PAC ID
7214111582
Professional Enrollment ID
I20250327000312
Address ID
IL600147226CR145XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ANGELICA SOTO (MSN,APRN,PMHNP-C)

  • 5403 CLEARY CT

    CARPENTERSVILLE, IL 601103269

    Phone: (224) 856-9157

    Type: Mailing

  • 145 S VIRGINIA ST

    CRYSTAL LAKE, IL 600147226

    Phone: (815) 444-9999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250327000312INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214111582View full group profile
NameSpecialtyState
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerNY
-IL
-IL
Nurse PractitionerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Can I cross-check ANGELICA SOTO (MSN,APRN,PMHNP-C) using NPI 1063235505?
NPI 1063235505 belongs to ANGELICA SOTO (MSN,APRN,PMHNP-C); compare other details if you need extra assurance.
Is there an active status for ANGELICA SOTO (MSN,APRN,PMHNP-C)?
For scheduling context, ANGELICA SOTO (MSN,APRN,PMHNP-C) is shown as active in the registry.
What kind of doctor is ANGELICA SOTO (MSN,APRN,PMHNP-C)?
ANGELICA SOTO (MSN,APRN,PMHNP-C) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is ANGELICA SOTO (MSN,APRN,PMHNP-C) registered?
Use Carpentersville, Illinois as the headline location for ANGELICA SOTO (MSN,APRN,PMHNP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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