DR. SHAWN ASHLEY KACKER DO
NPI 1073042727
Psychiatry & Neurology - Neurology in Park Ridge, IL
About Dr. Shawn Ashley Kacker Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN ASHLEY KACKER DO (NPI 1073042727) is an individual neurology provider in Park Ridge, Illinois, licensed in Illinois (036-159149) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shawn Ashley Kacker Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Shawn Kacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 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 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PARK RIDGE, IL 60068
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 Shawn Kacker's NPI number?
The NPI number for Shawn Kacker is 1073042727. It was assigned to this individual provider in the NPPES registry on June 7, 2017.
Where is Shawn Kacker located?
Shawn Kacker practices at 1675 Dempster St Fl 3, Park Ridge, IL 60068. The listed phone number is (847) 318-9330.
What is Shawn Kacker's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Shawn Kacker enrolled in Medicare?
Yes. Shawn Kacker 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.
Which organization bills Medicare for Shawn Kacker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Kacker reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Shawn Kacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Kacker accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Shawn Kacker 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 Shawn Kacker was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Shawn Ashley Kacker, DO · NPI 1073042727
Neurology physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since June 7, 2017.
## Identity
- **NPI:** 1073042727 (Entity type: Individual)
- **Enumerated:** June 7, 2017
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 036-159149 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 DEMPSTER ST FL 3, Park Ridge, IL 60068-1110
- **Phone:** (847) 318-9330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2017
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073042727) · Data from the CMS NPPES public registry.