ANDREW BRANDT – Nurse Practitioner, NPI 1043192297

ANDREW BRANDT is a healthcare provider. based in Evanston, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209032423 (IL). The NPI Number for ANDREW BRANDT is 1043192297

Main info

Organization
2 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW BRANDT
NPI
1043192297
Phone
Not provided
Address
2650 RIDGE AVE STE 1223
Enumeration Date
21 July 2025
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
7012415334
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20250807000026
Address ID
IL602011700EV2650XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for ANDREW BRANDT

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone:

    Type: Mailing

  • 800 W CENTRAL RD

    ARLINGTON HEIGHTS, IL 600052349

    Phone: (847) 618-4430

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250807000026INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Can I cross-check ANDREW BRANDT using NPI 1043192297?
NPI 1043192297 belongs to ANDREW BRANDT; compare other details if you need extra assurance.
Active or inactive — what applies to ANDREW BRANDT?
You should see ANDREW BRANDT as active in CMS-hosted NPPES data.
What area of care is associated with ANDREW BRANDT?
ANDREW BRANDT's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ANDREW BRANDT located near Evanston?
ANDREW BRANDT currently maps to Evanston, Illinois in this extract.
Can I trust this NPI listing for ANDREW BRANDT?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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