ANGELA APPLEBERRY (NP) – Adult Health Nurse Practitioner, NPI 1699310201

ANGELA APPLEBERRY (NP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209.020082 (IL). The NPI Number for ANGELA APPLEBERRY (NP) is 1699310201

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA APPLEBERRY (NP)
NPI
1699310201
Phone
(773) 542-2000
Address
1500 S Fairfield Ave
Enumeration Date
7 November 2019
Last Update Date
19 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7085385373
Graduation Year
2019 (7 years ago)
PAC ID
5890127492
Group Practice PAC ID
4486877511
Professional Enrollment ID
I20191120002349
Address ID
IL601601612ME701XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ANGELA APPLEBERRY (NP)

  • 1500 S Fairfield Ave

    Chicago, IL 606081782

    Phone: (773) 542-2000

    Type: Location

  • 3300 175TH ST

    HAZEL CREST, IL 604291604

    Phone: (708) 335-2400

    Type: Location

  • 3719 GROVE AVE

    BERWYN, IL 604023905

    Phone: (773) 567-7997

    Type: Mailing

  • 1500 S FAIRFIELD AVE FL 4

    CHICAGO, IL 606081782

    Phone: (773) 257-4432

    Type: Mailing

  • 1500 S FAIRFIELD AVE

    CHICAGO, IL 606081782

    Phone: (773) 542-2000

    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 $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: EMD Serono, Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
EMD Serono, Inc.$87
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: 2019-11-20

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
I20191120002349INurse 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 60608)

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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: 4486877511View full group profile
NameSpecialtyState
Emergency MedicineIL
Nurse PractitionerOH
Nurse PractitionerIL
Physical Medicine And Rehabilitation, Interventional Pain ManagementIL
Family PracticeIL
U R O L O G YIL
Nurse PractitionerIL
Family PracticeIL
Family PracticeIL
Physician AssistantIL

Reviews

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Frequently asked questions

Is ANGELA APPLEBERRY (NP) listed with a National Provider Identifier?
Yes — ANGELA APPLEBERRY (NP) has NPI 1699310201 on file in the registry.
Is there an active status for ANGELA APPLEBERRY (NP)?
For scheduling context, ANGELA APPLEBERRY (NP) is shown as active in the registry.
What kind of doctor is ANGELA APPLEBERRY (NP)?
ANGELA APPLEBERRY (NP) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is ANGELA APPLEBERRY (NP) located near Chicago?
ANGELA APPLEBERRY (NP) currently maps to Chicago, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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