ANGELA D BEAL – Family Nurse Practitioner, NPI 1861965543

ANGELA D BEAL is a healthcare provider. based in Kankakee, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 277001168 (IL). The NPI Number for ANGELA D BEAL is 1861965543

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA D BEAL
NPI
1861965543
Phone
(877) 692-8686
Address
1777 E COURT ST
Enumeration Date
6 January 2019
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666300966
Graduation Year
2010 (16 years ago)
PAC ID
1456699164
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20240118002700
Address ID
TX787055654AU2021XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:7State licenses:3Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190205000599INurse PractitionerILTBD
I20240118002700INurse PractitionerTXTBD

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 60901)

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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: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows ANGELA D BEAL across health systems?
The NPI 1861965543 uniquely identifies ANGELA D BEAL in U.S. healthcare data.
Does the public listing show ANGELA D BEAL as active?
ANGELA D BEAL's NPI record reflects an active status in NPPES.
Which specialty label fits ANGELA D BEAL?
NPPES ties ANGELA D BEAL to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANGELA D BEAL?
ANGELA D BEAL shows a connection to Kankakee, Illinois in registry-derived data.
Can I export ANGELA D BEAL's record?
You can download the official NPPES record; we summarize key fields for readability.

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