MRS. ANGELA CHRISTINE NIMKE (LCSW) – Clinical Social Worker, NPI 1093889792

MRS. ANGELA CHRISTINE NIMKE (LCSW) is a healthcare provider. based in Ottawa, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149012221 (IL). The NPI Number for MRS. ANGELA CHRISTINE NIMKE (LCSW) is 1093889792

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELA CHRISTINE NIMKE (LCSW)
NPI
1093889792
Phone
(815) 433-3100
Address
1100 E NORRIS DRIVE
Enumeration Date
17 November 2006
Last Update Date
18 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154333100
Graduation Year
2004 (22 years ago)
PAC ID
2062708910
Group Practice PAC ID
9133029861
Professional Enrollment ID
I20160901001996
Address ID
IL613501604OT1100XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for MRS. ANGELA CHRISTINE NIMKE (LCSW)

  • OSF Saint Elizabeth Medical Center, 1100, East Norris Drive, Ottawa, LaSalle County, Illinois, 61350, United States

    OTTAWA, IL 613503678

    Phone: (815) 433-3100

    Fax: (815) 431-5298

    Mailing address matches the actual address.

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: 2016-09-01

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
I20160901001996IClinical Social WorkerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes33229$0
View full utilization report →

Insurance plans in this area (ZIP 61350)

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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: 9133029861View full group profile
NameSpecialtyState
Internal MedicineIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Radiation OncologyIL
-IL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the registry number for MRS. ANGELA CHRISTINE NIMKE (LCSW)?
The registry entry for MRS. ANGELA CHRISTINE NIMKE (LCSW) shows NPI 1093889792.
Does the public listing show MRS. ANGELA CHRISTINE NIMKE (LCSW) as active?
MRS. ANGELA CHRISTINE NIMKE (LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. ANGELA CHRISTINE NIMKE (LCSW)?
NPPES ties MRS. ANGELA CHRISTINE NIMKE (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. ANGELA CHRISTINE NIMKE (LCSW)?
The directory associates MRS. ANGELA CHRISTINE NIMKE (LCSW) with Ottawa, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MRS. ANGELA CHRISTINE NIMKE (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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