MRS. SHANNON GREENQUIST FNP-BC
NPI 1174062368
Nurse Practitioner - Family in Kankakee, IL

Q: What is Shannon Greenquist's NPI number?

The NPI number for Shannon Greenquist is 1174062368. It was assigned to this individual provider in the NPPES registry on February 21, 2017. The provider is also known as Shannon Moore.

Q: What is Shannon Greenquist's specialty?

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

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment

500 N WALL ST STE C100, KANKAKEE, IL 60901(844) 404-4787(815) 936-3243 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Nov 11, 2019, Feb 21, 2017 (3 updates tracked since 2017).

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About Mrs. Shannon Greenquist Fnp-bc NPPES

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

MRS. SHANNON GREENQUIST FNP-BC (NPI 1174062368) is an individual family provider in Kankakee, Illinois, licensed in Illinois (209.014773) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174062368

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHANNON GREENQUISTCredential: FNP-BC

Location Address500 N WALL ST STE C100Kankakee, IL 60901-2942

Mailing Address500 N Wall St Ste C100Kankakee, IL 60901-2942 · (844) 404-4787 · Fax (815) 936-3243

Phone(844) 404-4787

Fax(815) 936-3243

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 21, 2017

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1174062368 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

License✔ Licensed in IL · 209.014773

500 N WALL ST STE C100, Kankakee, IL 60901

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Other Names 1

Former Name (1)Shannon Moore

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Shannon Greenquist Fnp-bc 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 ID8224305198

PECOS Enrollment IDI20170524001595

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

672 services479 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY N PERREAULT NP-C

Nurse Practitioner (Family)