YAMINAH MAXIM VELASCO AGPCNP-BC
NPI 1245902501
Nurse Practitioner - Primary Care in Evanston, IL

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment
3200 GRANT ST, EVANSTON, IL 60201(847) 961-0939 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Yaminah Maxim Velasco Agpcnp-bc NPPES

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

YAMINAH MAXIM VELASCO AGPCNP-BC (NPI 1245902501) is an individual primary care provider in Evanston, Illinois, licensed in Illinois (209033415) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245902501
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameYAMINAH MAXIM VELASCOCredential: AGPCNP-BC
Location Address3200 GRANT STEvanston, IL 60201-1903
Mailing Address3200 Grant StEvanston, IL 60201-1903 · (847) 961-0939
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 4, 2021
Last NPPES UpdateOctober 19, 2025
NPPES CertifiedOctober 19, 2025
✔ NPI 1245902501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209033415
3200 GRANT ST, Evanston, IL 60201

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

Yaminah Maxim Velasco Agpcnp-bc 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 ID6800380502
PECOS Enrollment IDI20251210002335
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 Reassignments

2

Medicare enrollment records show Yaminah Maxim Velasco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group

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 60201 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 20

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

Clinical Nurse Specialist (Gerontology)
3200 GRANT ST
EVANSTON, IL 60201
Clinic/Center (Medical Specialty)
3200 GRANT ST
EVANSTON, IL 60201
Occupational Therapist
3200 GRANT ST
EVANSTON, IL 60201
Social Worker (Clinical)
3200 GRANT ST
EVANSTON, IL 60201
Speech-Language Pathologist
3200 GRANT ST
EVANSTON, IL 60201
Occupational Therapist
3200 GRANT ST
EVANSTON, IL 60201
Clinic/Center (Rehabilitation)
3200 GRANT ST
EVANSTON, IL 60201
Pharmacy
3200 GRANT ST
EVANSTON, IL 60201

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 Yaminah Maxim Velasco's NPI number?

The NPI number for Yaminah Maxim Velasco is 1245902501. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Yaminah Maxim Velasco located?

Yaminah Maxim Velasco practices at 3200 Grant St, Evanston, IL 60201. The listed phone number is (847) 961-0939.

What is Yaminah Maxim Velasco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Yaminah Maxim Velasco enrolled in Medicare?

Yes. Yaminah Maxim Velasco 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 organizations bill Medicare for Yaminah Maxim Velasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaminah Maxim Velasco reassigns Medicare benefits to 2 organizations: Midwest Post Acute Care Aco PLLC (Chicago, IL) and Midwest Post Acute Care PLLC (Chicago, IL). Each 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 Yaminah Maxim Velasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Yaminah Maxim Velasco was last updated on October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.