Angel Custodio Hernandez, APN-CNP
NPI 1164885745ActiveIndividual· Nurse Practitioner· Evanston, IL
Nurse Practitioner (APN-CNP) with Endeavor Health Medical Group, practicing in Evanston, Illinois. Medicare paid $17,618 for services to 93 patients in 2024. Lists Northshore University Healthsystem - Evanston Hospital as a hospital affiliation.
Overview
| NPI | 1164885745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN-CNP |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2016 |
| Last updated in NPPES | Aug 12, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209013700 | IL |
| Nurse Practitioner, Family | 363LF0000X | 209.013700 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 215 across 5 procedure codes |
| Paid by Medicare | $17,618 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Endeavor Health Medical GroupEvanston, IL · 3,350 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 142 nurse practitioners in Evanston · All nurse practitioners in Illinois