ANGELA M STANLEY (NP) – Family Medicine Physician, NPI 1235807900

ANGELA M STANLEY (NP) is a healthcare provider. based in Shabbona, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209.023268 (IL). The NPI Number for ANGELA M STANLEY (NP) is 1235807900

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA M STANLEY (NP)
NPI
1235807900
Phone
(815) 739-7309
Address
607 S SHABBONA RD
Enumeration Date
30 August 2021
Last Update Date
30 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152278300
Graduation Year
2021 (5 years ago)
PAC ID
4486051828
Group Practice PAC ID
3870662398
Professional Enrollment ID
I20210928000144
Address ID
IL611075089RO612XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ANGELA M STANLEY (NP)

  • 607 S SHABBONA RD

    SHABBONA, IL 605509785

    Phone: (815) 739-7309

    Type: Mailing

  • 612 ROXBURY RD

    ROCKFORD, IL 611075089

    Phone: (815) 227-8331

    Fax: (855) 243-0207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-28

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
I20210928000144INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes687113$0
90966Home dialysis services per month (20 years or older)6036$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)1512$0
View full utilization report →

Insurance plans in this area (ZIP 60550)

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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: 3870662398View full group profile
NameSpecialtyState
N E P H R O L O G YIL
Internal Medicine, NephrologyIL
Nephrology, Internal MedicineIL
N E P H R O L O G YIL
Nurse PractitionerIL
Nurse PractitionerIL
Nephrology, Internal MedicinePA
N E P H R O L O G YIL
Nurse PractitionerWI
Certified Clinical Nurse Specialist (Cns), Nurse PractitionerIL

Reviews

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Frequently asked questions

What identifier follows ANGELA M STANLEY (NP) across health systems?
The NPI 1235807900 uniquely identifies ANGELA M STANLEY (NP) in U.S. healthcare data.
Is ANGELA M STANLEY (NP) currently accepting referrals based on NPI status?
Registry metadata lists ANGELA M STANLEY (NP) as active.
Which specialty label fits ANGELA M STANLEY (NP)?
NPPES ties ANGELA M STANLEY (NP) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGELA M STANLEY (NP)?
ANGELA M STANLEY (NP) is associated with Shabbona, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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