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Deactivated NPI 1780963918 Deactivated / Inactive NPI Male Practitioner

Todd Edward Berends , NP

Nurse Practitioner • Long Grove, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Todd Berends has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2011
NPI Deactivation Date May 27, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Todd Berends, NP was a registered Nurse Practitioner practicing in Long Grove, IL. Throughout an active medical career spanning 9 years, Todd Berends provided care at the practice location at 3880 SALEM LAKE DR until profile deactivation on 2020-05-27.

Historical Medicare Part B clinical services included initial hospital care with moderate level of medical decision making, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, prolonged inpatient or observation hospital service, first hour. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3880 Salem Lake Dr
Ste F

Long Grove, IL 600475292

Telephone 8477192220
Fax 8477192265
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Long Grove, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Long Grove, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
20 19 $1439.50 $168.22

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704223156

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Marek Filipiuk , MD

Internal Medicine

NPI 1013981778

Doctor of Medicine (M.D.)

Dr. Kelly Tan , MD

Internal Medicine

NPI 1023299799

Doctor of Medicine (M.D.)

Bryn Jemmi , PA-C

Physician Assistant - Medical

NPI 1033007257

Physician Assistant (Certified)

Helen Okorie , NP

Nurse Practitioner - Adult Health

NPI 1033694922

Nurse Practitioner

NPI 1043516396

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Annette Olin , MD

Internal Medicine

NPI 1053323881

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 27, 2020

Record deactivated on May 27, 2020

NPI Profile Active March 12, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 12, 2014

Registered at 3880 SALEM LAKE DR, STE F, LONG GROVE, IL 600475292 (Tel: 8477192220)

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Updated Business Mailing Address March 12, 2014

Registered at 3880 SALEM LAKE DR, STE F, LONG GROVE, IL 600475292 (Tel: 8477192220)

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Provider Name / Credentials Updated March 12, 2014

Recorded as TODD BERENDS, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2014

Nurse Practitioner (License #4704223156 in MI)

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Initial NPI Registration & Enumeration August 05, 2011

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: 1780963918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2011
Last Update: March 12, 2014
Deactivation Date: May 27, 2020

Mailing Address

3880 Salem Lake Dr, Ste F

Long Grove, IL 600475292

Phone: 8477192220

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.