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Active NPI 1265548986 Individual Practitioner Female Practitioner

Angela Dawn Herndon , APN

Nurse Practitioner • Breese, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Angela Herndon, APN is a certified Nurse Practitioner practicing in Breese, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Angela Herndon delivers high-quality medical care to the local community at 397 NORTH PLUM STREET.

Angela Herndon is affiliated with Advantage Physical Medicine Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

397 North Plum Street

Breese, IL 622309998

Telephone 6185264700
Fax 6185667121
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Breese, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +11.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Breese, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herndon (21 Years) 21 Yrs
Breese Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
69 58 $127.44 $75.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $70.00 $46.70

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 041328145

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Advantage Physical Medicine Pllc

397 N Plum St, Breese, IL 622301528

Phone: 6185264700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Paul Reger , MD

Family Medicine

NPI 1003922709

Doctor of Medicine (M.D.)

NPI 1225084197

Doctor of Medicine (M.D.)

NPI 1275999336

Doctor of Chiropractic

Tiffany Hosp , NP

Nurse Practitioner

NPI 1356037592

Nurse Practitioner

NPI 1710984042

Doctor of Chiropractic

Shayne Pluto

Chiropractor

NPI 1730045832

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 20, 2024

Registered at 397 NORTH PLUM STREET, BREESE, IL 622309998 (Tel: 6185264700)

📍
Updated Business Mailing Address September 20, 2024

Registered at 397 NORTH PLUM STREET, BREESE, IL 622309998 (Tel: 6185264700)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 739 N JEFFERSON ST, SUITE 200, MASCOUTAH, IL 622581447 (Tel: 6185668810)

📍
Updated Business Mailing Address July 08, 2007

Registered at 739 N JEFFERSON ST, SUITE 200, MASCOUTAH, IL 622581447 (Tel: 6185668810)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANGELA HERNDON, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #041328145 in IL)

🟢
Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265548986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: September 20, 2024
Sole Proprietor: No

Mailing Address

397 North Plum Street

Breese, IL 622309998

Phone: 6185264700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.