ANGELA KAY KERN – Family Nurse Practitioner, NPI 1619537867

ANGELA KAY KERN is a healthcare provider. based in Freeburg, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209019000 (IL). The NPI Number for ANGELA KAY KERN is 1619537867

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA KAY KERN
NPI
1619537867
Phone
(618) 539-0067
Address
251 MARKETPLACE DR
Enumeration Date
19 June 2019
Last Update Date
30 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182777400
Graduation Year
2018 (8 years ago)
PAC ID
8325472384
Group Practice PAC ID
9335320597
Professional Enrollment ID
I20191227001054
Address ID
IL622692941SH1414XSTXX356
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ANGELA KAY KERN

  • 251 MARKETPLACE DR

    FREEBURG, IL 62243

    Phone: (618) 539-0067

    Type: Location

  • 325 Spring St

    Red Bud, IL 622781105

    Phone: (618) 282-7373

    Fax: (618) 282-4190

    Type: Location

  • 251 Marketplace Dr

    Freeburg, IL 62243

    Phone: (618) 539-0067

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,299.

Total Amount is formed as General ($1,299) + Research ($0) + Ownership ($0) = $1,299.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($398).

Total Amount

$1,299

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

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: 2019-12-27

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
I20191227001054INurse 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 62243)

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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: 9335320597View full group profile
NameSpecialtyState
Colorectal Surgery (Proctology), General SurgeryGA
Family PracticeIL
General SurgeryIL
Physician AssistantIL
Family PracticeIL
Family PracticeIL
Family PracticeMO
General SurgeryIL
Family PracticeIL
-IL

Reviews

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Frequently asked questions

Where can patients find ANGELA KAY KERN's NPI?
You can confirm ANGELA KAY KERN with NPI 1619537867; it appears in the national provider directory.
Is ANGELA KAY KERN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANGELA KAY KERN work in?
You can think of ANGELA KAY KERN as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANGELA KAY KERN's primary listing?
We display Freeburg, Illinois because that is what the record indicates for ANGELA KAY KERN.
Is ANGELA KAY KERN a real provider?
This page reflects official NPPES data for NPI 1619537867. Always confirm identity and privileges with the practice and licensing boards.

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