DR. SHAWN ASHLEY KACKER DO
NPI 1073042727
Psychiatry & Neurology - Neurology in Park Ridge, IL

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068(847) 318-9330 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2024, Jul 18, 2023, Jul 9, 2023 and 1 more (4 updates tracked since 2017).

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

NPI1073042727
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SHAWN ASHLEY KACKERCredential: DO
Location Address1675 DEMPSTER ST FL 3Park Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateAugust 21, 20244 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1073042727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036-159149
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPediatricsTaxonomy 208000000X · License 125070942 (IL)
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 036159149 (IL)
1675 DEMPSTER ST FL 3, Park Ridge, IL 60068

Secondary Practice Location 1

Location 15841 S Maryland Ave # Mc8016Chicago, IL 60637-1447 · Phone (773) 702-6435 · Fax (773) 834-0748

Accepted 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

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.

PECOS PAC ID7810266525
PECOS Enrollment IDI20221021001101
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 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.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Physician Assistant (Surgical)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Nurse Practitioner
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Occupational Therapist
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Speech-Language Pathologist
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Neurological Surgery
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Pediatrics (Pediatric Cardiology)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Pediatrics
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Plastic Surgery
1675 DEMPSTER ST FL 3
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.

What insurance does Shawn Kacker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 with the weekly NPPES data releases published by CMS.