JINAN SHETAYA FNP
NPI 1003771122
Nurse Practitioner - Family in Matteson, IL

Active since December 20, 2025PECOS EnrolledAccepts Medicare Assignment
402 TOWN CENTER RD, MATTESON, IL 60443(708) 852-5179 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jinan Shetaya Fnp NPPES

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

JINAN SHETAYA FNP (NPI 1003771122) is an individual family provider in Matteson, Illinois, licensed in Illinois (209033990) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003771122
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJINAN SHETAYACredential: FNP
Location Address402 TOWN CENTER RDMatteson, IL 60443-2300
Mailing Address16430 Olde Gatehouse RdTinley Park, IL 60477-6857 · (708) 737-5472
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 20, 2025
NPPES CertifiedDecember 20, 2025
NPI 1003771122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209033990
402 TOWN CENTER RD, Matteson, IL 60443

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jinan Shetaya Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840778197
PECOS Enrollment IDI20260129000826
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60443 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 6

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

Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Clinic/Center (Urgent Care)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443

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 Jinan Shetaya's NPI number?

The NPI number for Jinan Shetaya is 1003771122. It was assigned to this individual provider in the NPPES registry on December 20, 2025.

Where is Jinan Shetaya located?

Jinan Shetaya practices at 402 Town Center Rd, Matteson, IL 60443. The listed phone number is (708) 852-5179.

What is Jinan Shetaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jinan Shetaya enrolled in Medicare?

Yes. Jinan Shetaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jinan Shetaya was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.