KERRY SHANKLIN FNP
NPI 1033641279
Nurse Practitioner - Family in Chicago, IL

Q: What is Kerry Shanklin's NPI number?

The NPI number for Kerry Shanklin is 1033641279. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Kerry Shanklin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerry Shanklin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611(312) 664-3278(312) 695-5774 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017, Mar 28, 2017 (3 updates tracked since 2017).

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About Kerry Shanklin Fnp NPPES

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

KERRY SHANKLIN FNP (NPI 1033641279) is an individual family provider in Chicago, Illinois, licensed in Illinois (209015808) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033641279

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKERRY SHANKLINCredential: FNP

Location Address675 N SAINT CLAIR ST STE 19-100Chicago, IL 60611-5969

Mailing Address680 N Lake Shore DrChicago, IL 60611-4546 · (312) 695-6868

Phone(312) 664-3278

Fax(312) 695-5774

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 28, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1033641279 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 · 209015808

675 N SAINT CLAIR ST STE 19-100, Chicago, IL 60611

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kerry Shanklin 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 ID446520126

PECOS Enrollment IDI20170728001261

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of lower heart chamber assist device 93750

An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.

39 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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 20

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

LAURA JEAN DAVIDSON M.D.

Internal Medicine (Interventional Cardiology)