Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angel Custodio Hernandez, APN-CNP

Individual provider Family Nurse Practitioner · NPI 1164885745

Angel Custodio Hernandez, APN-CNP is a Nurse Practitioner in Evanston, Illinois. Qualified in 2015, 11 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2650 Ridge Ave Palliative Care
Evanston, IL 60201-1718
Phone: (847) 503-4222
Fax: (847) 503-4220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5218 N Kimball Ave, Chicago, IL 60625-4729 — (773) 633-6751

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209013700 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.013700 (IL)

Record details

NPI number1164885745
Entity typeIndividual (Type 1)
GenderMale
Credentials APN-CNP
Sole proprietorYes
NPI enumeratedApril 1, 2016
Last updated in NPPESAugust 12, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Evanston