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

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: November 01, 2026.

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

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 St Charles Medical Center - Bend, 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
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

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

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Shana Carter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
Clinical Medical Laboratory
1025 S 2ND AVE
Walla Walla, WA 99362
  • Reassigned Medicare billing, Washington enrollment
  • 276 clinicians in this Medicare group
Family Medicine
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 348 clinicians in this Medicare group
Rural Health
1190 RIDDLE STREET
Darrington, WA 98241
  • Reassigned Medicare billing, Washington enrollment
  • 463 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.

Hospital Affiliations CMS Care Compare 2

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 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.

Where is Shana Carter located?

Shana Carter practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.

What is Shana Carter's specialty?

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

Is Shana Carter enrolled in Medicare?

Yes. Shana Carter 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 Shana Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Carter reassigns Medicare benefits to 5 organizations: Loyola University Medical Center (Maywood, IL), Mngi Digestive Health, P.A. (Minneapolis, MN), Providence Health & Services - Washington (Walla Walla, WA), St. Charles Health System, Inc. (Bend, OR) and Public Hospital Dist No 1 Skagit (Darrington, WA). 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 Shana Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shana Carter accept?

Health plans from Ambetter Health, BridgeSpan Health Company, HealthPartners, Moda Health Plan, Inc. and Oscar Health and 4 other insurers list Shana Carter 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.

Is Shana Carter affiliated with any hospitals?

According to CMS data, Shana Carter is affiliated with St Charles Medical Center - Bend and Providence St Mary Medical Center.

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 11 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.