MRS. SHANA L CARTER MS APRN
NPI 1124190590
Nurse Practitioner - Family in Maywood, IL

Q: What is Shana Carter's NPI number?

The NPI number for Shana Carter is 1124190590. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Shana Carter'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 Shana Carter was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Sep 18, 2024, Mar 7, 2023 and 5 more (8 updates tracked since 2017).

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About Mrs. Shana L Carter Ms Aprn NPPES

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

MRS. SHANA L CARTER MS APRN (NPI 1124190590) is an individual family provider in Maywood, Illinois, licensed in Illinois (209030215) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124190590

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHANA L CARTERCredential: MS APRN

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address320 Sunnyview LnKalispell, MT 59901-3129 · (460) 752-7441

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2001

Enumeration DateNovember 14, 2006

Last NPPES UpdateDecember 3, 20258 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1124190590 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

Licenses✔ Licensed in IL · 209030215✔ Licensed in MT · 120113✔ Licensed in NE · 110580

2160 S 1ST AVE, Maywood, IL 60153

Open in Google Maps ↗

Secondary Practice Locations 3

Location 140 Skokie Blvd Ste 110Northbrook, IL 60062-1614 · Phone (224) 407-4400

Location 22200 NE Neff Rd Ste 302Bend, OR 97701-4279 · Phone (541) 706-4220

Location 3950 Technology Way Ste 250Libertyville, IL 60048-5366 · Phone (224) 407-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, HealthPartners, Medica and more.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

Mrs. Shana L Carter Ms Aprn 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 ID3476548892

PECOS Enrollment IDI20221205001997, I20241001000886, I20241023003533, I20250813000754

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.

Hospital Affiliations CMS Care Compare

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500002

Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)