Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROLINE ODIOR SHODUNOLA NURSE PRACTITIONER
NPI 1003646787
Nurse Practitioner - Psychiatric/Mental Health in Elgin, IL

Active since August 06, 2024PECOS Enrolled
11 DOUGLAS AVE STE 253, ELGIN, IL 60120(224) 342-5417(224) 857-2573 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Aug 13, 2024, Aug 6, 2024 (3 updates tracked since 2024).

About Caroline Odior Shodunola Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE ODIOR SHODUNOLA NURSE PRACTITIONER (NPI 1003646787) is an individual psychiatric/mental health provider in Elgin, Illinois, licensed in Illinois (2024060378) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003646787
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROLINE ODIOR SHODUNOLACredential: NURSE PRACTITIONER
Location Address11 DOUGLAS AVE STE 253Elgin, IL 60120-5590
Mailing Address11 Douglas Ave Ste 253Elgin, IL 60120-5590 · (224) 342-5417 · Fax (224) 857-2573
Fax(224) 857-2573
Sole ProprietorYes
Enumeration DateAugust 6, 2024
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1003646787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 2024060378
11 DOUGLAS AVE STE 253, Elgin, IL 60120

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Odior Shodunola Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Caroline Shodunola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Psychiatric/Mental Health
11 DOUGLAS AVE STE 253
Elgin, IL 60120
  • Reassigned Medicare billing, Illinois enrollment
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
11 DOUGLAS AVE STE 253
ELGIN, IL 60120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Shodunola's NPI number?

The NPI number for Caroline Shodunola is 1003646787. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Caroline Shodunola located?

Caroline Shodunola practices at 11 Douglas Ave Ste 253, Elgin, IL 60120. The listed phone number is (224) 342-5417.

What is Caroline Shodunola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Caroline Shodunola enrolled in Medicare?

Yes. Caroline Shodunola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Shodunola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Shodunola reassigns Medicare benefits to 2 organizations: Empri Health LLC (Elgin, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Shodunola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Shodunola accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Caroline Shodunola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Shodunola was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.