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Active NPI 1730855677 Individual Practitioner Male Practitioner

Mark Perez Agustin , ACNP

Nurse Practitioner • Evanston, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Agustin, ACNP is a certified Nurse Practitioner practicing in Evanston, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Mark Agustin delivers high-quality medical care to the local community at 2650 RIDGE AVE..

Mark Agustin is affiliated with Endeavor Health Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first. 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.
Dept. Of Anesthesia

Evanston, IL 602011057

Telephone 8475702760
Fax 8475702921
Associated Practice Facility / Clinic
🏢 Endeavor Health Medical Group Facility NPI 1265695944

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 Evanston, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.8 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
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agustin (8 Years) 8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 14 $160.00 $70.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
14 14 $293.00 $117.79

Medical Specialties & State Licenses

CMS Verified: 2021-09-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209019626

(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 - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 209019626

Definition to come...

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Endeavor Health Medical Group

9600 Gross Point Rd, Skokie, IL 600761214

Endeavor Health Medical Group

777 Park Ave W, Highland Park, IL 600352433

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mia Zeller , APN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1003535543

APNCRNA

Jettero Fushi , APN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1013737659

APNCRNA

Dr. Gloria Park , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1023987427

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Elisa Hillman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043882855

Certified Registered Nurse Anesthetist

Cristi Franklin , APN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1053411009

APNCRNA

Karen Hamlett-Kleinhenz , APN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1063512929

APNCRNA

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 17, 2021

Registered at 2650 RIDGE AVE., DEPT. OF ANESTHESIA, EVANSTON, IL 602011057 (Tel: 8475702760)

📍
Updated Business Mailing Address September 17, 2021

Registered at 2650 RIDGE AVE., DEPT. OF ANESTHESIA, EVANSTON, IL 602011057 (Tel: 8475702760)

NPI Profile Active August 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2021

Registered at 777 PARK AVE W, HIGHLAND PARK, IL 600352433 (Tel: 8474328000)

📍
Updated Business Mailing Address August 20, 2021

Registered at 1449 BEAUMONT CIR, BARTLETT, IL 601032975 (Tel: 6304843893)

👤
Provider Name / Credentials Updated August 20, 2021

Recorded as MARK AGUSTIN, ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2021

Nurse Practitioner (License #209019626 in IL)

🟢
Initial NPI Registration & Enumeration August 20, 2021

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: 1730855677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2021
Last Update: September 17, 2021
Sole Proprietor: Yes

Mailing Address

2650 Ridge Ave., Dept. Of Anesthesia

Evanston, IL 602011057

Phone: 8475702760

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.