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Active NPI 1700385077 Individual Practitioner Female Practitioner

Glenna M Daugherty , APN-CNP

Nurse Practitioner • Evanston, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Glenna Daugherty, APN-CNP is a certified Nurse Practitioner practicing in Evanston, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Glenna Daugherty delivers high-quality medical care to the local community at 2650 RIDGE AVE..

Glenna Daugherty is affiliated with Endeavor Health Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs. 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.
Emergency Medicine

Evanston, IL 602011718

Telephone 8475702114
Fax 8475701223

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Evanston, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.8 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

In-Person Office Visits Only

Medicare Pricing Discount
85.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daugherty (9 Years) 9 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 (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs
11 11 $311.00 $43.86

Medical Specialties & State Licenses

CMS Verified: 2020-02-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.016628

(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.

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Phone: 8475702000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Michael Gillam , MD

Emergency Medicine

NPI 1013092188

Doctor of Medicine (M.D.)

Marlene Angelico , CNP

Nurse Practitioner - Acute Care

NPI 1013128750

Certified Nurse Practitioner

Dr. Evan Laskaris , MD

Emergency Medicine

NPI 1013994383

Doctor of Medicine (M.D.)

Susan Bednar , APN-CNP

Nurse Practitioner

NPI 1043421704

APNCNP

Dr. Irene Yao , MD

Emergency Medicine

NPI 1053368415

Doctor of Medicine (M.D.)

Dr. Korie Zink , MD, MS

Emergency Medicine

NPI 1053842799

Doctor of Medicine (M.D.), Master of Science

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 06, 2020

Registered at 2650 RIDGE AVE., EMERGENCY MEDICINE, EVANSTON, IL 602011718 (Tel: 8475702114)

📍
Updated Business Mailing Address February 06, 2020

Registered at 2650 RIDGE AVE., EMERGENCY MEDICINE, EVANSTON, IL 602011718 (Tel: 8475702114)

👤
Provider Name / Credentials Updated February 06, 2020

Recorded as GLENNA DAUGHERTY, APN-CNP

NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2018

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475702000)

📍
Updated Business Mailing Address February 01, 2018

Registered at 6301 N NAVAJO AVE, CHICAGO, IL 606464124 (Tel: 6306060777)

👤
Provider Name / Credentials Updated February 01, 2018

Recorded as GLENNA MURPHY, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Nurse Practitioner (License #209.016628 in IL)

🟢
Initial NPI Registration & Enumeration February 01, 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: 1700385077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2018
Last Update: February 06, 2020
Sole Proprietor: No

Mailing Address

2650 Ridge Ave., Emergency Medicine

Evanston, IL 602011718

Phone: 8475702114

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.