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Charlotte Nougouapi Pauline Djomgoue

Nurse Practitioner β€’ Evanston, IL

Active NPI 1992425409 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2650 Ridge Ave
Evanston, IL 602011700

Call 8475702714 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475702714
Organization at the Same NPPES Address or Phone
Endeavor Health Clinical Operations Facility NPI 1184670549

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Joliet, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Endeavor Health Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.62 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Charlotte Djomgoue has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Charlotte Djomgoue as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Evanston and Illinois

139 active clinicians are listed under Nurse Practitioner with a practice address in Evanston, IL (4,894 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Evanston

21.6% of these 139 clinicians have the CMS telehealth indicator.

71.9% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $18.62.

Manufacturer Payment Nature Product Type Amount ($)
Haemonetics Corporation
Food and Beverage
In-kind items and services
TEG6S HEMOSTASIS SYSTEM General $18.62

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES 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

License # reported to NPPES IL 041412436
Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

License # reported to NPPES IL 209025824
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230214002751

Enrollment State Jurisdiction

IL

PECOS Control ID

0941672208

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
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.)

Christine Lawlor , APN-CNP

Nurse Practitioner

NPI 1245839364

APNCNP

Jovi-Anne Myers , APN-CNP

Nurse Practitioner

NPI 1154726214

APNCNP

Dr. Stacy Raviv , MD

Internal Medicine - Pulmonary Disease

NPI 1568550499

Doctor of Medicine (M.D.)

Dr. Daniel Ray , MD

Internal Medicine - Pulmonary Disease

NPI 1801817473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 10, 2024

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

πŸ“
Updated Business Mailing Address June 10, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700

βœ…
NPI Profile Active September 02, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 02, 2022

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

πŸ“
Business Mailing Address (Initial Record) September 02, 2022

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

πŸ‘€
Provider Name / Credentials (Initial Record) September 02, 2022

Recorded as CHARLOTTE DJOMGOUE

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

Registered Nurse (license number reported to NPPES: IL 041412436)

🟒
Initial NPI Registration & Enumeration September 02, 2022

First registered as active Individual Practitioner in NPPES Database.

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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

Other Nurse Practitioners in Evanston

All Nurse Practitioners in Evanston

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.