ANGELA D BEAL – Family Nurse Practitioner, NPI 1861965543
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for ANGELA D BEAL
1777, East Court Street, Kankakee, Kankakee County, Illinois, 60901, United States
KANKAKEE, IL 609012670
Phone: (877) 692-8686
Type: Mailing
6006 159th St Bldg D
Oak Forest, IL 604522904
Phone: (708) 765-9288
Fax: (773) 409-9381
Type: Location
2136 W 95th St Ste 201
Chicago, IL 606431000
Phone: (708) 765-9288
Fax: (773) 409-9381
Type: Location
2136 W 95TH ST STE 201
CHICAGO, IL 606431000
Phone: (708) 765-9288
Fax: (773) 409-9381
Type: Mailing
6633 BELLFORT ST
HOUSTON, TX 770876409
Phone: (713) 993-6425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($81).
Total Amount
$104
General + Research + Ownership
Payments
2
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-01-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190205000599 | I | Nurse Practitioner | IL | TBD |
| I20240118002700 | I | Nurse Practitioner | TX | TBD |
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.
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 60901)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CO | |
| Clinical Social Worker | VA | |
| Nurse Practitioner | CO | |
| P S Y C H I A T R Y | PA | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | TX |
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