Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Holt Blackburn, APRN, CNP

Individual provider Nurse Practitioner · NPI 1780646406

Angela Holt Blackburn, APRN, CNP is a Nurse Practitioner in Palos Heights, Illinois. Qualified in 2001, 25 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois and North Carolina.

Years since qualifying
25
Licensed in
IL, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

12251 S 80th Ave
Palos Heights, IL 60463-1290
Phone: (708) 923-4000
Fax: (708) 226-2390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209034971 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 145108 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 145108 (NC)

Record details

NPI number1780646406
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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