Individual provider Active NPI

Andjela Varagic, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Ellyn, IL
National Provider Identifier
1144172958
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209032758 Issued in IL
Practice address
799 Roosevelt Rd Ste 3-03
Glen Ellyn, IL 60137-5920
Phone
(708) 356-2400
Fax
(708) 356-2420
NPI assigned
Feb 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209032758 IL Primary

Addresses

Primary practice location

799 Roosevelt Rd Ste 3-03
Glen Ellyn, IL 60137-5920

Mailing address

799 Roosevelt Rd Ste 3-03
Glen Ellyn, IL 60137-5920
Phone (708) 356-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313001629 IL Practitioner - Nurse Practitioner 6507349982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mava Healthcare Systems PLLCGroup PAC ID 8921457292, 5 clinicians

Practice addresses (Care Compare)

799 Roosevelt Rd
BLDG 4
Glen Ellyn, IL 60137-5908
Phone (708) 356-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032758ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mava Healthcare Systems PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1319 Butterfield Rd
Ste 500
Downers Grove, IL 60515
Phone (708) 356-2400

799 Roosevelt Rd
Bldg 4
Glen Ellyn, IL 60137
Phone (630) 474-9500

799 Roosevelt Rd
Ste 303
Glen Ellyn, IL 60137
Phone (708) 356-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1144172958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD STE 3-03",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375920",
            "telephone_number": "708-356-2400",
            "fax_number": "708-356-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD STE 3-03",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375920",
            "telephone_number": "708-356-2400",
            "fax_number": "708-356-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARAGIC",
        "first_name": "ANDJELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.