Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558676221 Individual Practitioner Female Practitioner

Boseung Halliwell , APN-CNP

Nurse Practitioner • Evanston, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Boseung Halliwell, APN-CNP is a certified Nurse Practitioner practicing in Evanston, IL. With approximately 17 years of clinical experience since graduating from University Of Vermont College Of Medicine in 2009, Boseung Halliwell delivers high-quality medical care to the local community at 2650 RIDGE AVE.

Boseung Halliwell is affiliated with Endeavor Health Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychiatric diagnostic evaluation with medical services, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8474256400
Fax 8474256408
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Evanston, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +7.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
140 Specialists

Practicing in Evanston, IL (4929 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Halliwell (17 Years) 17 Yrs
Evanston Specialty Average (9.8 Years) 9.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
116 52 $278.61 $112.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 40 $187.84 $87.16
99213 Established patient office or other outpatient visit, typically 15 minutes
41 27 $207.41 $78.79
99213 Established patient office or other outpatient visit, typically 15 minutes
20 14 $93.75 $59.15

Medical Specialties & State Licenses

CMS Verified: 2021-03-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209012602

(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
1018026 (VT)
Commercial Insurance / Payer ID Medicare
001783501
Commercial Insurance / Payer ID Medicare Railroad Carrier
P00907931

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Thomas Cothran , PhD

Clinical Neuropsychologist

NPI 1003197856

Doctor of Philosophy (Ph.D.)

Dr. Christopher Williams , PhD

Clinical Neuropsychologist

NPI 1003505967

Doctor of Philosophy (Ph.D.)

Monika Marrero , APRN

Nurse Practitioner

NPI 1013786466

Advanced Practice Registered Nurse

Dr. Claire Brunegraff , PhD

Psychologist - Cognitive & Behavioral

NPI 1043365265

Doctor of Philosophy (Ph.D.)

Dr. Alexandra Kirsch , PhD

Clinical Neuropsychologist

NPI 1083069959

Doctor of Philosophy (Ph.D.)

Dr. Cynthia Levin , PsyD

Psychologist - Clinical

NPI 1083608343

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 05, 2021

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8474256400)

📍
Updated Business Mailing Address March 05, 2021

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8474256400)

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as BOSEUNG HALLIWELL, APN-CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Nurse Practitioner (License #209012602 in IL)

NPI Profile Active June 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2012

Registered at 65 NORTHGATE PLAZA, SUITE 11, MORRISVILLE, VT 056615900 (Tel: 8028888320)

📍
Updated Business Mailing Address June 04, 2012

Registered at PO BOX 749, MORRISVILLE, VT 056610749 (Tel: 8028518603)

👤
Provider Name / Credentials Updated June 04, 2012

Recorded as BOSEUNG HALLIWELL, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2012

Nurse Practitioner (License #101.0069774 in VT)

🟢
Initial NPI Registration & Enumeration August 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Boseung Halliwell. Be the first to share your experience!

Sign in to leave a review for Boseung Halliwell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558676221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2010
Last Update: March 05, 2021
Sole Proprietor: No

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8474256400

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.