SHANEIL ELIZABETH VANCE
NPI 1083437677
Counselor - Professional in Blue Island, IL

Active since November 04, 2024PECOS EnrolledAccepts Medicare Assignment
1750 BROADWAY ST TRLR 3022, BLUE ISLAND, IL 60406(773) 943-0551 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2024, Nov 4, 2024 (2 updates tracked since 2024).

About Shaneil Elizabeth Vance NPPES

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

SHANEIL ELIZABETH VANCE (NPI 1083437677) is an individual professional provider in Blue Island, Illinois, licensed in Illinois (180016098) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083437677
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANEIL ELIZABETH VANCE
Location Address1750 BROADWAY ST TRLR 3022Blue Island, IL 60406-2780
Mailing Address1750 Broadway St Trlr 3022Blue Island, IL 60406-2780 · (773) 943-0551
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 4, 2024
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1083437677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180016098
1750 BROADWAY ST TRLR 3022, Blue Island, IL 60406

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

Shaneil Elizabeth Vance 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 ID9739615410
PECOS Enrollment IDI20241204003086
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 Shaneil Vance reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
Psychiatry
1639 N ALPINE RD STE 260
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rockford Psychiatric Medical Services Sc
  • 163 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.

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 Shaneil Vance's NPI number?

The NPI number for Shaneil Vance is 1083437677. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Shaneil Vance located?

Shaneil Vance practices at 1750 Broadway St Trlr 3022, Blue Island, IL 60406. The listed phone number is (773) 943-0551.

What is Shaneil Vance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shaneil Vance enrolled in Medicare?

Yes. Shaneil Vance 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 organizations bill Medicare for Shaneil Vance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaneil Vance reassigns Medicare benefits to 2 organizations: Vitae Health Medical Illinois, PLLC (Skokie, IL) and Rockford Psychiatric Medical Services, S.C. (Rockford, IL). 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 Shaneil Vance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaneil Vance accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Shaneil Vance 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 Shaneil Vance was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.