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

Individual provider Registered Nurse · NPI 1104545631

Tyler Patrick Dougan, APN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Evanston, Illinois. Qualified in 2024, 2 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
2
Licensed in
IL, WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2650 Ridge Ave Dept OF Anesthesia
Evanston, IL 60201-1718
Phone: (847) 570-2760
Fax: (847) 570-2921
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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 209030036 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 259056 (WI)

Record details

NPI number1104545631
Entity typeIndividual (Type 1)
GenderMale
Credentials APN-CRNA
Sole proprietorYes
NPI enumeratedAugust 26, 2022
Last updated in NPPESJuly 16, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Evanston