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SHAN LI
NPI 1194569434
Nurse Practitioner - Gerontology in Crown Point, IN

Active since June 21, 2024PECOS EnrolledAccepts Medicare Assignment
2100 N MAIN ST # 304, CROWN POINT, IN 46307(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Jun 24, 2024, Jun 21, 2024 (3 updates tracked since 2024).

About Shan Li NPPES

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

SHAN LI (NPI 1194569434) is an individual gerontology provider in Crown Point, Indiana, licensed in Indiana (71015549A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valparaiso, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194569434
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHAN LI
Location Address2100 N MAIN ST # 304Crown Point, IN 46307-1877
Mailing Address5508 Agape LnValparaiso, IN 46383-1206 · (219) 510-3316
Phone(574) 546-1900
Fax(574) 546-1999
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 21, 2024
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1194569434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 71015549A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28248448A (IN)
2100 N MAIN ST # 304, Crown Point, IN 46307
Open in Google Maps ↗

Secondary Practice Location 1

Location 15508 Agape LnValparaiso, IN 46383-1206 · Phone (219) 510-3316

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Shan Li 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 ID6800333998
PECOS Enrollment IDI20240807001903
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
273 services186 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
262 services165 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
77 services42 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
59 services40 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services20 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MS. YVETTE MONIQUE CAVINESS-KELLEY FNP-BC
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
BRANDY MICHELLE COOK FNP-BC
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MELISSA CRAWFORD
Social Worker (Clinical)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
TONI DAWN SUAREZ NP
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MELISSA MARSHALL NP-C
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
LAUREN STEWART
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
KAREN DIANNE TODD LCSW
Social Worker (Clinical)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MR. CHRISTOPHER HUTCHESON LCSW
Social Worker (Clinical)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900

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 Shan Li's NPI number?

The NPI number for Shan Li is 1194569434. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Shan Li located?

Shan Li practices at 2100 N Main St # 304, Crown Point, IN 46307. The listed phone number is (574) 546-1900.

What is Shan Li's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shan Li enrolled in Medicare?

Yes. Shan Li 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.

What insurance does Shan Li accept?

Health plans from CareSource list Shan Li 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 Shan Li was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.