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MS. SHANA RAE HOLMAN FNP
NPI 1184214306
Nurse Practitioner in Galesburg, IL

Active since January 21, 2021PECOS EnrolledAccepts Medicare Assignment
2762 SPRINGER RD APT 8, GALESBURG, IL 61401(309) 335-1970 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2025, Jan 21, 2021 (2 updates tracked since 2021).

About Ms. Shana Rae Holman Fnp NPPES

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

MS. SHANA RAE HOLMAN FNP (NPI 1184214306) is an individual nurse practitioner in Galesburg, Illinois, licensed in Illinois (209022719) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184214306
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SHANA RAE HOLMANCredential: FNP
Location Address2762 SPRINGER RD APT 8Galesburg, IL 61401-7514
Mailing Address2762 Springer Rd Apt 8Galesburg, IL 61401-7514 · (309) 335-1970
Phone(309) 335-1970
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 21, 2021
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1184214306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209022719
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2762 SPRINGER RD APT 8, Galesburg, IL 61401
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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

Ms. Shana Rae Holman Fnp 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 ID5496132276
PECOS Enrollment IDI20220517001253
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

4

Medicare enrollment records show Shana Holman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Graham Hospital Association
2.0 mi
Rural Health
530 N SEMINARY ST
Galesburg, IL 61401
  • Reassigned Medicare billing, Illinois enrollment
  • 134 clinicians in this Medicare group
NPI 1063128601 (309) 647-0201
Proctor Health Systems
40 mi
Ambulatory Surgical
5401 N KNOXVILLE AVE, STE 217
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
NPI 1720223837 (309) 691-1092
Methodist Medical Center Of Illinois
42 mi
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522
Carle Health Medical Group
125 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services121 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
56 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services23 patients
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.
21 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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.

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 Holman's NPI number?

The NPI number for Shana Holman is 1184214306. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Shana Holman located?

Shana Holman practices at 2762 Springer Rd Apt 8, Galesburg, IL 61401. The listed phone number is (309) 335-1970.

What is Shana Holman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shana Holman enrolled in Medicare?

Yes. Shana Holman 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 Holman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Holman reassigns Medicare benefits to 4 organizations: Graham Hospital Association (Galesburg, IL), Proctor Health Systems (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, 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 Shana Holman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shana Holman affiliated with any hospitals?

According to CMS data, Shana Holman is affiliated with Graham Hospital Association, St Mary Medical Center, Saint Francis Medical Center and Osf Holy Family Medical Center.

When was this NPI record last updated?

The NPPES record for Shana Holman was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.