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Active NPI 1992425409 Individual Practitioner Female Practitioner

Charlotte Nougouapi Pauline Djomgoue

Nurse Practitioner • Evanston, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charlotte Djomgoue is a certified Nurse Practitioner practicing in Evanston, IL. With approximately 4 years of clinical experience since completing medical education in 2022, Charlotte Djomgoue delivers high-quality medical care to the local community at 2650 RIDGE AVE.

Charlotte Djomgoue is affiliated with Endeavor Health Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475702714
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Evanston, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.8 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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Djomgoue (4 Years) 4 Yrs
Evanston Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025824

(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.

Registered Nurse - Medical-Surgical

NUCC Taxonomy Code: 163WM0705X

State License IL 041412436

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 209025824

Definition to come...

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Endeavor Health Medical Group

2100 Pfingsten Rd, Glenview, IL 600261301

Secondary Practice Locations

333 Madison St

Joliet, IL 604358200

Phone: 8157257133

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Shashi Bellam , MD

Internal Medicine - Pulmonary Disease

NPI 1053338871

Doctor of Medicine (M.D.)

Dr. Tomasz Kuzniar , MD

Internal Medicine - Pulmonary Disease

NPI 1114905171

Doctor of Medicine (M.D.)

Jovi-Anne Myers , APN-CNP

Nurse Practitioner

NPI 1154726214

APNCNP

Christine Lawlor , APN-CNP

Nurse Practitioner

NPI 1245839364

APNCNP

Dr. Raj Shah , MD

Internal Medicine - Pulmonary Disease

NPI 1396907135

Doctor of Medicine (M.D.)

Dr. Stacy Raviv , MD

Internal Medicine - Pulmonary Disease

NPI 1568550499

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 10, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475702714)

📍
Updated Business Mailing Address June 10, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700

NPI Profile Active September 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2022

Registered at 333 MADISON ST, JOLIET, IL 604358200 (Tel: 8157257133)

📍
Updated Business Mailing Address September 02, 2022

Registered at 411 MELISSA CIR, ROMEOVILLE, IL 604465158 (Tel: 3312538681)

👤
Provider Name / Credentials Updated September 02, 2022

Recorded as CHARLOTTE DJOMGOUE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2022

Registered Nurse (License #041412436 in IL)

🟢
Initial NPI Registration & Enumeration September 02, 2022

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: 1992425409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2022
Last Update: June 10, 2024
Sole Proprietor: Yes

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

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.