ANGELA SUE BIRDSELL (APN) – Family Nurse Practitioner, NPI 1306350780

ANGELA SUE BIRDSELL (APN) is a healthcare provider. based in Bloomington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209016781 (IL). The NPI Number for ANGELA SUE BIRDSELL (APN) is 1306350780

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA SUE BIRDSELL (APN)
NPI
1306350780
Phone
(309) 662-4321
Address
2406 E EMPIRE ST
Enumeration Date
21 November 2017
Last Update Date
21 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178766640
Graduation Year
2017 (9 years ago)
PAC ID
9739443375
Group Practice PAC ID
6204731144
Professional Enrollment ID
I20180507000698
Address ID
IL625264169DE304XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for ANGELA SUE BIRDSELL (APN)

  • East Empire Street, Bloomington, McLean County, Illinois, 61704-2534, United States

    BLOOMINGTON, IL 617043630

    Phone: (309) 662-4321

    Fax: (309) 663-8032

    Type: Location

  • 102, South Mary Street, Atlanta, Logan County, Illinois, 61723, United States

    ATLANTA, IL 617238993

    Phone: (217) 737-1694

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $3,352.

Total Amount is formed as General ($3,352) + Research ($0) + Ownership ($0) = $3,352.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Medtronic, Inc. ($1,562).

Total Amount

$3,352

General + Research + Ownership

Payments

117

Total payment records

General Amount

$3,352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2018-05-07

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
I20180507000698INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes321203$0
99213Established patient office or other outpatient visit, 20-29 minutes271173$0
99442Telephone medical discussion with physician, 11-20 minutes11392$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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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: 6204731144View full group profile
NameSpecialtyState
-IL
General Surgery, Colorectal Surgery (Proctology)IL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMO
Nurse PractitionerIL
-IL
-IL
Physician AssistantIL
-IL
-IL
-IL

Reviews

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Frequently asked questions

How is ANGELA SUE BIRDSELL (APN) identified in CMS data?
CMS-hosted NPPES data lists ANGELA SUE BIRDSELL (APN) with NPI 1306350780.
Does the file indicate ANGELA SUE BIRDSELL (APN) is practicing under active NPI?
Directory data currently reports ANGELA SUE BIRDSELL (APN) as active.
What taxonomy line describes ANGELA SUE BIRDSELL (APN)?
For research purposes, treat ANGELA SUE BIRDSELL (APN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANGELA SUE BIRDSELL (APN) on a map?
Expect Bloomington, Illinois as a primary anchor for ANGELA SUE BIRDSELL (APN) unless the record lists multiple sites.
Why does ANGELA SUE BIRDSELL (APN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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