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GLENN BAUTISTA APN
NPI 1164105664
Nurse Practitioner - Family in Schaumburg, IL

Active since August 10, 2023PECOS EnrolledAccepts Medicare Assignment
804 E WOODFIELD RD, SCHAUMBURG, IL 60173(847) 605-0030(847) 637-0737 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Glenn Bautista Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN BAUTISTA APN (NPI 1164105664) is an individual family provider in Schaumburg, Illinois, licensed in Illinois (209028005) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164105664
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGLENN BAUTISTACredential: APN
Location Address804 E WOODFIELD RDSchaumburg, IL 60173-4776
Mailing Address1585 Barrington Rd Ste 501Hoffman Estates, IL 60169-5020 · (847) 490-8900 · Fax (847) 490-8999
Phone(847) 605-0030
Fax(847) 637-0737
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 10, 2023
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1164105664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209028005
804 E WOODFIELD RD, Schaumburg, IL 60173
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenn Bautista Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628417540
PECOS Enrollment IDI20240411002546
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Glenn Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chicago Cardiology Institute S.C.
Same address
Cardiovascular Disease
804 WOODFIELD RD, SUITE 300
Schaumburg, IL 60173
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Chicago Cardiology Institute Sc
  • 35 clinicians in this Medicare group
NPI 1568600286 (847) 605-9500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOLOMON J SAGER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
DR. PABLO F SOTO MD
Internal Medicine (Cardiovascular Disease)
804 E WOODFIELD RD, STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
MUHAMMAD ADNAN BALOUCH
Internal Medicine (Interventional Cardiology)
804 E WOODFIELD RD
SCHAUMBURG, IL 60173
Cook County (847) 605-0030
JANKI PATEL
Nurse Practitioner (Family)
804 E WOODFIELD RD
SCHAUMBURG, IL 60173
Cook County (847) 423-4454
MRS. JIGNA D GANDHI MSN, NP -C
Nurse Practitioner
804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
AASITA NITIN PATEL MD
Internal Medicine (Cardiovascular Disease)
804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-0030
JANA HOSTALEK RN , MSN
Nurse Practitioner (Adult Health)
804 E WOODFIELD RD, SUITE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-0030
MS. MARY JEANINE GALLUCCI RN CCM
Registered Nurse (Case Management)
804 E WOODFIELD RD
SCHAUMBURG, IL 60173
Cook County (224) 517-6660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Bautista's NPI number?

The NPI number for Glenn Bautista is 1164105664. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Glenn Bautista located?

Glenn Bautista practices at 804 E Woodfield Rd, Schaumburg, IL 60173. The listed phone number is (847) 605-0030.

What is Glenn Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Glenn Bautista enrolled in Medicare?

Yes. Glenn Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Glenn Bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Bautista reassigns Medicare benefits to Chicago Cardiology Institute S.C. (Schaumburg, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Bautista accept?

Health plans from Oscar Health list Glenn Bautista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Bautista was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.