Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902105760 Individual Practitioner Female Practitioner

Angela D Graham , CPNP-AC

Nurse Practitioner • Canton, IL

Professional Overview & Biography Verified Profile Summary

Angela Graham, CPNP-AC is a registered healthcare professional specializing in Nurse Practitioner in Canton, IL. Practice services are available at 210 W WALNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 W Walnut St

Canton, IL 615202497

Telephone 3096475240
Fax 3096495128
Associated Practice Facility / Clinic
🏢 Jae Kim, M.d. Facility NPI 1710928627

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Canton, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209008727

(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.

Nurse Practitioner - Pediatrics, Critical Care

NUCC Taxonomy Code: 363LP0222X

State License IL 209008727

Definition to come...

Practice Associates & Co-Workers

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

25 Associated Practitioners
Della Eeten , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003013038

Certified Registered Nurse Anesthetist

Gerri Delost , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053480707

Certified Registered Nurse Anesthetist

Courtney Inness

Nurse Practitioner - Family

NPI 1073311403
Lorna Eaton

Physical Therapy Assistant

NPI 1154296119
Christina Willey , OT

Occupational Therapist

NPI 1235699893

Occupational Therapist

Dr. Ronald Champagne , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1306884622

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 12, 2021

Registered at 210 W WALNUT ST, CANTON, IL 615202497 (Tel: 3096475240)

📍
Updated Business Mailing Address March 12, 2021

Registered at 210 W WALNUT ST, CANTON, IL 615202497 (Tel: 3096475240)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2021

Nurse Practitioner (License #209008727 in IL)

NPI Profile Active March 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2011

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

📍
Updated Business Mailing Address March 19, 2011

Registered at 205 LINCOLN RD, CANTON, IL 615201040 (Tel: 3092510032)

👤
Provider Name / Credentials Updated March 19, 2011

Recorded as ANGELA GRAHAM, CPNP-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2011

Nurse Practitioner (License #209008727 in IL)

🟢
Initial NPI Registration & Enumeration March 19, 2011

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: 1902105760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2011
Last Update: March 12, 2021
Sole Proprietor: No

Mailing Address

210 W Walnut St

Canton, IL 615202497

Phone: 3096475240

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.