ALICIA S ANGELO (MS, RN, CNP) – Nurse Practitioner, NPI 1619983657

ALICIA S ANGELO (MS, RN, CNP) is a healthcare provider. based in North olmsted, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MS, RN, CNP. They hold a License No. COA.08466.NP (OH). The NPI Number for ALICIA S ANGELO (MS, RN, CNP) is 1619983657

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA S ANGELO (MS, RN, CNP)
NPI
1619983657
Phone
(440) 893-0200
Address
25000 COUNTRY CLUB BLVD
Enumeration Date
31 July 2006
Last Update Date
17 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409648446
Graduation Year
2005 (21 years ago)
PAC ID
7315961190
Group Practice PAC ID
6709030133
Professional Enrollment ID
I20060119000465
Address ID
OH440043107AS2217XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for ALICIA S ANGELO (MS, RN, CNP)

  • Country Club Boulevard, North Olmsted, Cuyahoga County, Ohio, 44070, United States

    # 255

    NORTH OLMSTED, OH 440705344

    Phone: (440) 893-0200

    Fax: (440) 793-7194

    Mailing address matches the actual address.

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 $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2023-10-16 • Largest payer in this snapshot: AngioDynamics, Inc. ($115).

Total Amount

$115

General + Research + Ownership

Payments

1

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AngioDynamics, Inc.$115
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: 2006-01-19

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
I20060119000465INurse PractitionerOHTBD

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 44070)

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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: 6709030133View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerAL
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
-GA
-NC

Reviews

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Frequently asked questions

What NPI should I save for ALICIA S ANGELO (MS, RN, CNP)?
Save NPI 1619983657 if you need a stable reference for ALICIA S ANGELO (MS, RN, CNP).
Is ALICIA S ANGELO (MS, RN, CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ALICIA S ANGELO (MS, RN, CNP) treat or focus on?
Patients typically see ALICIA S ANGELO (MS, RN, CNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ALICIA S ANGELO (MS, RN, CNP)?
The page summarizes North Olmsted, Ohio for ALICIA S ANGELO (MS, RN, CNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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