POOME CHAMNANKIT APN-CNP
NPI 1417168022
Nurse Practitioner in Evanston, IL

Q: What is Poome Chamnankit's NPI number?

The NPI number for Poome Chamnankit is 1417168022. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Poome Chamnankit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Poome Chamnankit was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

2650 RIDGE AVE, ICU, RM 3935A, EVANSTON, IL 60201(847) 570-2428(847) 570-1436 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Jun 4, 2020 (2 updates tracked since 2020).

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About Poome Chamnankit Apn-cnp NPPES

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

POOME CHAMNANKIT APN-CNP (NPI 1417168022) is an individual nurse practitioner in Evanston, Illinois, licensed in Illinois (209005563) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1417168022

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NamePOOME CHAMNANKITCredential: APN-CNP

Location Address2650 RIDGE AVE, ICU, RM 3935AEvanston, IL 60201-1718

Mailing Address2650 Ridge Ave Ste 4945Evanston, IL 60201-1700 · (847) 570-2332 · Fax (847) 570-1436

Phone(847) 570-2428

Fax(847) 570-1436

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 24, 2007

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1417168022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209005563

Definition

(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.

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 209-005563 (IL)

2650 RIDGE AVE, Evanston, IL 60201

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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

Poome Chamnankit Apn-cnp 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 ID9638590839

PECOS Enrollment IDI20200526000941

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 Poome Chamnankit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group

Same address

Anesthesiology

2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1265695944 (847) 570-2760

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

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.

DR. THOMAS LEE CIBULL M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201

Cook County (847) 570-2040

LAUREN ANDERSON MD

Hospitalist

2650 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 570-1027

DR. DANIEL K. WEST MD

Radiology (Diagnostic Radiology)

2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201

Cook County (847) 570-2475

JOEL BERNSTEIN M.D.

Radiology (Diagnostic Radiology)

2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201

Cook County (847) 570-1206

MATTHEW R. SHERWOOD MD

Internal Medicine

2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201

Cook County (847) 570-1010

MICHAEL T. GILLAM M.D.

Emergency Medicine

2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201

Cook County (847) 570-2114

MARLENE ANGELICO CNP

Nurse Practitioner (Acute Care)

2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201

Cook County (847) 570-1355

MINA KEROLOS MD

Hospitalist

2650 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 570-1010

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 Poome Chamnankit's NPI number?

The NPI number for Poome Chamnankit is 1417168022. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Poome Chamnankit located?

Poome Chamnankit practices at 2650 Ridge Ave Icu, Rm 3935A, Evanston, IL 60201. The listed phone number is (847) 570-2428.

What is Poome Chamnankit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Poome Chamnankit enrolled in Medicare?

Yes. Poome Chamnankit 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 Poome Chamnankit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poome Chamnankit reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, 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 Poome Chamnankit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Poome Chamnankit affiliated with any hospitals?

According to CMS data, Poome Chamnankit is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Poome Chamnankit was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.