Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxwell Hersman, APN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1669366456

Maxwell Hersman, APN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Evanston, Illinois. Qualified in 2025, 1 year ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

2650 Ridge Ave
Evanston, IL 60201-1781
Phone: (847) 570-2760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209032461 (IL)

Record details

NPI number1669366456
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials APN-CRNA
Sole proprietorYes
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Evanston