GLENNA M DAUGHERTY APN-CNP
NPI 1700385077
Nurse Practitioner in Evanston, IL

Q: What is Glenna Daugherty's NPI number?

The NPI number for Glenna Daugherty is 1700385077. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Q: What is Glenna Daugherty'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 Glenna Daugherty was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

2650 RIDGE AVE., EMERGENCY MEDICINE, EVANSTON, IL 60201(847) 570-2114(847) 570-1223 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 6, 2020, Jan 17, 2020 (2 updates tracked since 2020).

On this page

About Glenna M Daugherty Apn-cnp NPPES

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

GLENNA M DAUGHERTY APN-CNP (NPI 1700385077) is an individual nurse practitioner in Evanston, Illinois, licensed in Illinois (209.016628) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700385077

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameGLENNA M DAUGHERTYCredential: APN-CNP

Location Address2650 RIDGE AVE., EMERGENCY MEDICINEEvanston, IL 60201-1718

Mailing Address2650 Ridge Ave., Emergency MedicineEvanston, IL 60201-1718 · (847) 570-2114 · Fax (847) 570-1223

Phone(847) 570-2114

Fax(847) 570-1223

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 1, 2018

Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration

✔ NPI 1700385077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.016628

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.

2650 RIDGE AVE., Evanston, IL 60201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenna M Daugherty 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 ID4880958271

PECOS Enrollment IDI20180511001219

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.

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.

JAMES FRANCIS KELLY DO

Hospitalist

2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201

Cook County (847) 570-1010

DR. MARY TILLEY JENKINS VOGEL MD

Obstetrics & Gynecology (Gynecologic Oncology)

2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201

Cook County (847) 570-2639

SUNITHA CHITRA SURESH MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

2650 RIDGE AVE., SUITE 1420
EVANSTON, IL 60201

Cook County (847) 570-2860

BHAVIK KHAJURIA

Radiology (Diagnostic Radiology)

2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201

Cook County (847) 570-2477

WAJDEY NESHEIWAT PA-C

Physician Assistant (Surgical)

2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL 60201

Cook County (847) 570-2560

AYMAN NAJIB MD

Hospitalist

2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201

Cook County (847) 570-1010

MATTHEW JOSEPH SADLOWSKY APN-CRNA

Nurse Anesthetist, Certified Registered

2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201

Cook County (847) 570-2760

KYLE PETTY MD

Anesthesiology

2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201

Cook County (847) 570-2760

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 Glenna Daugherty's NPI number?

The NPI number for Glenna Daugherty is 1700385077. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Glenna Daugherty located?

Glenna Daugherty practices at 2650 Ridge Ave. Emergency Medicine, Evanston, IL 60201. The listed phone number is (847) 570-2114.

What is Glenna Daugherty's specialty?

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

Is Glenna Daugherty enrolled in Medicare?

Yes. Glenna Daugherty 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.

Is Glenna Daugherty affiliated with any hospitals?

According to CMS data, Glenna Daugherty is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Glenna Daugherty was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.