ANGELA AGNICH (CRNA) – Anesthesiology Physician, NPI 1639181647

ANGELA AGNICH (CRNA) is a healthcare provider. based in Springfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209-000589 (IL). The NPI Number for ANGELA AGNICH (CRNA) is 1639181647

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA AGNICH (CRNA)
NPI
1639181647
Phone
(217) 528-7541
Address
1025 S 6th St
Enumeration Date
12 August 2006
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2178543141
Graduation Year
1997 (29 years ago)
PAC ID
9739155508
Group Practice PAC ID
9032021373
Professional Enrollment ID
I20040920000073
Address ID
IL626263710CA20733STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for ANGELA AGNICH (CRNA)

  • 1025 S 6th St

    Springfield, IL 627032499

    Phone: (217) 528-7541

    Type: Location

  • 1210, Crown Fox Lane, New Lenox, Will County, Illinois, 60451, United States

    NEW LENOX, IL 604511205

    Phone: (815) 320-3086

    Fax: (815) 464-1767

    Type: Location

  • PO BOX 367

    FRANKFORT, IL 604230367

    Phone: (815) 320-3086

    Fax: (815) 464-1767

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $380.

Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.

Last reported payment date: 2023-12-02 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($380).

Total Amount

$380

General + Research + Ownership

Payments

3

Total payment records

General Amount

$380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-02

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: 2004-09-20

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
I20040920000073ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery128119$0
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1817$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1511$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1414$0
00630Anesthesia for other procedure on lower spine1111$0
View full utilization report →

Insurance plans in this area (ZIP 62703)

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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: 9032021373View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
-IL
-IL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)IL
H O S P I T A L I S TIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the registry number for ANGELA AGNICH (CRNA)?
The registry entry for ANGELA AGNICH (CRNA) shows NPI 1639181647.
Is ANGELA AGNICH (CRNA)'s NPI status active today?
Active status means ANGELA AGNICH (CRNA)'s NPI record is not deactivated in the public file.
What services align with ANGELA AGNICH (CRNA)'s listing?
ANGELA AGNICH (CRNA)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGELA AGNICH (CRNA)?
ANGELA AGNICH (CRNA) is associated with Springfield, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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