Active NPI 1902371313 Individual Practitioner Female Practitioner

Dietra Leigh Angelly , FNP-C

Nurse Practitioner • Marion, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dietra Angelly, FNP-C is a certified Nurse Practitioner practicing in Marion, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Dietra Angelly delivers high-quality medical care to the local community at 3411 PROFESSIONAL PARK DR.

Dietra Angelly is affiliated with Deaconess Illinois Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3411 Professional Park Dr

Marion, IL 629596394

Telephone 6189698630

Fax 6189931421

Associated Practice Facility / Clinic

🏢 Southern Illinois Medical Care Associates Llc Facility NPI 1720183320

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marion, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs +0.5 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

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Angelly (8 Years) 8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	162	114	$249.61	$75.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	84	$370.97	$108.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	12	$12.86	$0.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	29	$51.26	$11.33
36415 Insertion of needle into vein for collection of blood sample	28	24	$10.00	$8.65
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	19	11	$18.95	$6.48
G0008 Administration of influenza virus vaccine	17	17	$40.00	$31.15
90662 Influenza vaccine split virus, preservative free	16	16	$116.00	$81.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$427.29	$96.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$228.00	$113.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	73	$167.52	$74.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	33	$58.29	$11.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$278.00	$93.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$234.00	$101.67
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	15	$110.00	$50.28
J1040 Injection, methylprednisolone acetate, 80 mg	12	12	$97.50	$12.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	52	$257.00	$59.52
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$279.95	$72.40
99441 Telephone medical discussion with physician, 5-10 minutes	26	24	$61.00	$30.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$333.75	$45.91
99239 Hospital discharge day management, more than 30 minutes	15	15	$386.00	$87.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$29.76	$10.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	109	$251.53	$59.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	63	$178.62	$32.14
99213 Established patient office or other outpatient visit, typically 15 minutes	52	39	$413.44	$75.87
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$439.70	$85.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$336.83	$46.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$68.00	$30.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	267	125	$174.25	$33.43
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$59.00	$43.93
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$427.27	$87.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	124	60	$171.91	$33.13

Medical Specialties & State Licenses

CMS Verified: 2024-04-08

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209018044

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209018044

Definition to come...

Hospital & Practice Group Affiliations

Deaconess Illinois Clinic Inc

303 S Commercial St, Harrisburg, IL 629462125

Phone: 6189186060

Deaconess Illinois Clinic Inc

205 Bailey Ln, Benton, IL 628121921

Phone: 6188824200

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kalinda Shaw

Nurse Practitioner

NPI 1851961635

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location April 08, 2024

Registered at 3411 PROFESSIONAL PARK DR, MARION, IL 629596394 (Tel: 6189698630)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Nurse Practitioner (License #209018044 in IL)

📍

Updated Practice Location February 27, 2019

Registered at 408 LINCOLN DR STE B, HERRIN, IL 62948 (Tel: 6183514980)

📍

Updated Business Mailing Address February 27, 2019

Registered at 408 LINCOLN DR STE B, HERRIN, IL 629483790 (Tel: 6183514980)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2019

Nurse Practitioner (License #209018044 in IL)

📍

Updated Practice Location January 14, 2019

Registered at 2808 OUTER DR, MARION, IL 629595207 (Tel: 8449887900)

📍

Updated Business Mailing Address January 14, 2019

Registered at 1239 E MAIN ST, CARBONDALE, IL 629013175 (Tel: 6184575200)

✅

NPI Profile Active October 11, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2018

Registered at 8675 HIGHWAY 13 W, CARRIER MILLS, IL 629172020 (Tel: 6188418039)

📍

Updated Business Mailing Address October 11, 2018

Registered at 8675 HIGHWAY 13 W, CARRIER MILLS, IL 629172020 (Tel: 6188418039)

👤

Provider Name / Credentials Updated October 11, 2018

Recorded as DIETRA ANGELLY, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2018

Nurse Practitioner (License #209018044 in IL)

🟢

Initial NPI Registration & Enumeration October 11, 2018

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: 1902371313

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 11, 2018

Last Update: April 08, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

408 Lincoln Dr Ste B

Herrin, IL 629483790

Phone: 6183514980

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.