MARK PEREZ AGUSTIN ACNP
NPI 1730855677
Nurse Practitioner in Evanston, IL

Q: What is Mark Agustin's NPI number?

The NPI number for Mark Agustin is 1730855677. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Q: What is Mark Agustin'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 Mark Agustin was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 20, 2021PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

2650 RIDGE AVE., DEPT. OF ANESTHESIA, EVANSTON, IL 60201(847) 570-2760(847) 570-2921 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2021, Aug 20, 2021 (2 updates tracked since 2021).

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About Mark Perez Agustin Acnp NPPES

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

MARK PEREZ AGUSTIN ACNP (NPI 1730855677) is an individual nurse practitioner in Evanston, Illinois, licensed in Illinois (209019626) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730855677

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMARK PEREZ AGUSTINCredential: ACNP

Location Address2650 RIDGE AVE., DEPT. OF ANESTHESIAEvanston, IL 60201-1057

Mailing Address2650 Ridge Ave., Dept. Of AnesthesiaEvanston, IL 60201-1057 · (847) 570-2760 · Fax (847) 570-2921

Phone(847) 570-2760

Fax(847) 570-2921

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 20, 2021

Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2021

✔ NPI 1730855677 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 · 209019626

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 · Acute CareTaxonomy 363LA2100X · License 209019626 (IL)

2650 RIDGE AVE., Evanston, IL 60201

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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

Mark Perez Agustin Acnp 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 ID3870999543

PECOS Enrollment IDI20210903000419

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

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

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

TAE YEON KIM MD

Hospitalist

2650 RIDGE AVE., PEDIATRIC HOSPITALISTS
EVANSTON, IL 60201

Cook County (847) 570-1027

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 Mark Agustin's NPI number?

The NPI number for Mark Agustin is 1730855677. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Mark Agustin located?

Mark Agustin practices at 2650 Ridge Ave. Dept. Of Anesthesia, Evanston, IL 60201. The listed phone number is (847) 570-2760.

What is Mark Agustin's specialty?

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

Is Mark Agustin enrolled in Medicare?

Yes. Mark Agustin 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 Mark Agustin affiliated with any hospitals?

According to CMS data, Mark Agustin is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Mark Agustin was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.