GLENN BAUTISTA APN
NPI 1164105664
Nurse Practitioner - Family in Schaumburg, IL
NPI Status: Active since August 10, 2023
Contact Information
804 E WOODFIELD RD
SCHAUMBURG, IL
ZIP 60173
Phone: (847) 605-0030
Fax: (847) 637-0737
- Individual
- Male
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About GLENN BAUTISTA
This page provides the complete NPI Profile along with additional information for Glenn Bautista, a provider established in Schaumburg, Illinois with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1164105664 assigned on August 2023. The practitioner's primary taxonomy code is 363LF0000X with license number 209028005 (IL). The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1164105664
- Provider Name
- GLENN BAUTISTA APN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 804 E WOODFIELD RD SCHAUMBURG, IL 60173
- Location Phone
- (847) 605-0030
- Location Fax
- (847) 637-0737
- Mailing Address
- 1585 BARRINGTON RD STE 501 HOFFMAN ESTATES, IL 60169
- Mailing Phone
- (847) 490-8900
- Mailing Fax
- (847) 637-0737
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-10-2023
- Last Update Date
- 03-21-2024
- Code Navigator
A nurse practitioner (NP) like Glenn Bautista is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209028005
- License State
- IL
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Glenn Bautista is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60173 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for GLENN BAUTISTA APN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 1 | 0 | 5 | 6 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 2 | 0 | 10 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 2 + 0 + 1 + 0 + 6 + 1 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1164105664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902895741 | JOHN KEVIN O'DONOGHUE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 804 E WOODFIELD RD SUITE 300 SCHAUMBURG, IL 60173 (847) 605-9500 |
| 1831513852 | JANA HOSTALEK RN , MSN Individual | Nurse Practitioner (Adult Health) | 804 E WOODFIELD RD SUITE 300 SCHAUMBURG, IL 60173 (847) 605-0030 |
| 1457743510 | MRS. SOBHA J KOTTOOR MSN, FNP-C Individual | Nurse Practitioner (Family) | 804 E WOODFIELD RD SUITE 300 SCHAUMBURG, IL 60173 (847) 605-9500 |
| 1710932264 | AASITA NITIN PATEL MD Individual | Internal Medicine (Cardiovascular Disease) | 804 E WOODFIELD RD SUITE 300 SCHAUMBURG, IL 60173 (847) 605-0030 |
| 1164629945 | DR. SOLOMON J SAGER M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 804 E WOODFIELD RD SUITE 300 SCHAUMBURG, IL 60173 (847) 605-9500 |
| 1588039770 | MRS. JIGNA D GANDHI MSN, NP -C Individual | Nurse Practitioner | 804 E WOODFIELD RD SUITE 300 SCHAUMBURG, IL 60173 (847) 605-9500 |
| 1225054463 | DR. PABLO F SOTO MD Individual | Internal Medicine (Cardiovascular Disease) | 804 E WOODFIELD RD STE 300 SCHAUMBURG, IL 60173 (847) 605-9500 |
| 1962153502 | MS. MARY JEANINE GALLUCCI RN CCM Individual | Registered Nurse (Case Management) | 804 E WOODFIELD RD SCHAUMBURG, IL 60173 (224) 517-6660 |
| 1235869835 | JANKI PATEL Individual | Nurse Practitioner (Family) | 804 E WOODFIELD RD SCHAUMBURG, IL 60173 (847) 423-4454 |
| 1992930689 | MRS. RENUKA J PATEL APN Individual | Nurse Practitioner (Family) | 804 E WOODFIELD RD SCHAUMBURG, IL 60173 (847) 605-9500 |
| 1235390469 | MUHAMMAD ADNAN BALOUCH Individual | Internal Medicine (Cardiovascular Disease) | 804 E WOODFIELD RD SCHAUMBURG, IL 60173 (847) 605-0030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164105664, enumerated in the NPI registry as an "individual" on August 10, 2023
The provider is located at 804 E Woodfield Rd Schaumburg, Il 60173 and the phone number is (847) 605-0030
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Aetna CVS Health and Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 10, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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