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Active NPI 1467785014 Individual Practitioner Male Practitioner

Angelito Dariel Tacderas , APN

Nurse Practitioner • Marion, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Angelito Tacderas, APN is a certified Nurse Practitioner practicing in Marion, IL. With approximately 17 years of clinical experience since completing medical education in 2009, Angelito Tacderas delivers high-quality medical care to the local community at 3331 W DEYOUNG ST.

Angelito Tacderas maintains professional affiliations with Advanced Kidney Institute, L.L.C., Kemell Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include dialysis services, 2-3 physician visits per month (20 years or older), dialysis services, 1 physician visit per month (20 years or older), dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3331 W Deyoung St
Ste 308

Marion, IL 629595896

Telephone 6189971200
Fax 6189971212
Associated Practice Facility / Clinic
🏢 Memorial Management Inc Facility NPI 1720087950

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marion, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +9.5 yrs vs City Avg
City Avg: 7.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
35 Specialists

Practicing in Marion, IL (4929 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tacderas (17 Years) 17 Yrs
Marion Specialty Average (7.5 Years) 7.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
110 37 $580.00 $236.17

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.007762

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (IL)

Hospital & Practice Group Affiliations

Advanced Kidney Institute, L.l.c.

3405 Office Park Dr, Marion, IL 629596478

Phone: 6189978412

Kemell Health Llc

None, Chicago, IL 60642

Phone: 6085183654

Practice Associates & Co-Workers

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

16 Associated Practitioners
Dr. Parag Madhani , MD

Internal Medicine - Cardiovascular Disease

NPI 1174517114

Doctor of Medicine (M.D.)

Dr. Ali Salimi , MD

Internal Medicine - Interventional Cardiology

NPI 1285639179

Doctor of Medicine (M.D.)

Dr. Saud Bin Abdul Sattar , MD

Internal Medicine - Pulmonary Disease

NPI 1306400999

Doctor of Medicine (M.D.)

Sherri Parr , PA-C

Physician Assistant

NPI 1336222983

Physician Assistant (Certified)

Dr. Patrick Sayavong , DO

Obstetrics & Gynecology

NPI 1346320124

Doctor of Osteopathic Medicine (D.O.)

Tonia Swink , NP

Nurse Practitioner

NPI 1356776645

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2009

Registered at 3331 W DEYOUNG ST, STE 308, MARION, IL 629595896 (Tel: 6189971200)

📍
Updated Business Mailing Address September 15, 2009

Registered at PO BOX 430, MARION, IL 629590430 (Tel: 6189971200)

👤
Provider Name / Credentials Updated September 15, 2009

Recorded as ANGELITO TACDERAS, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2009

Nurse Practitioner (License #209.007762 in IL)

🟢
Initial NPI Registration & Enumeration September 15, 2009

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: 1467785014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2009
Last Update: September 15, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 430

Marion, IL 629590430

Phone: 6189971200

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.