Dietra Angelly, FNP-C
NPI 1902371313 · Nurse Practitioner · Marion, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dietra Angelly, FNP-C is a Nurse Practitioner provider in Marion, IL (NPI 1902371313).
Provider details
- NPI number
- 1902371313
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209018044 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
394 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 162 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 115 | $108 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 47 | $11 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 28 | $9 |
| Administration of Influenza Virus VaccineG0008 | 17 | $31 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 50 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 149 | 35 |
| Levothyroxine Sodium | 105 | 38 |
| Atorvastatin Calcium | 80 | 30 |
| Amlodipine Besylate | 70 | 24 |
| Lisinopril | 69 | 31 |
| Alprazolam | 43 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,286 across 79 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-11
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Dietra Angelly's NPI number?
- Dietra Angelly's National Provider Identifier (NPI) is 1902371313, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dietra Angelly's specialty?
- Dietra Angelly is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dietra Angelly located?
- Dietra Angelly's practice location on file with NPPES is 3411 Professional Park Dr, Marion, IL 62959-6394.
- What is Dietra Angelly's phone number?
- The practice phone number listed in the NPPES registry for Dietra Angelly is (618) 969-8630.
- Does Dietra Angelly accept Medicare?
- Dietra Angelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dietra Angelly's NPI active?
- Yes — Dietra Angelly's NPI (1902371313) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.