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SHANNON VANZUMMEREN APN
NPI 1205202074
Nurse Practitioner - Family in Oquawka, IL

Active since August 17, 2015PECOS EnrolledAccepts Medicare Assignment
1204 HIGHWAY 164 E, PO BOX 198, OQUAWKA, IL 61469(309) 867-2202 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Shannon Vanzummeren Apn NPPES

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

SHANNON VANZUMMEREN APN (NPI 1205202074) is an individual family provider in Oquawka, Illinois, licensed in Illinois (209.013114) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205202074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON VANZUMMERENCredential: APN
Location Address1204 HIGHWAY 164 E, PO BOX 198Oquawka, IL 61469-6146
Mailing AddressPo Box 198Oquawka, IL 61469-0198 · (309) 924-2414
Phone(309) 867-2202
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 17, 2015
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1205202074 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 · 209.013114
1204 HIGHWAY 164 E, Oquawka, IL 61469
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1230 S Main, PO Box 198Monmouth, IL 61462 · Phone (309) 924-2414
Location 2101 S Division, PO Box 198Stronghurst, IL 61469-6146 · Phone (309) 924-2424
Location 3855 Illini Dr, Suite 304Silvis, IL 61282-2907 · Phone (309) 281-2120 · Fax (309) 281-2129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Shannon Vanzummeren Apn 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 ID7517275498
PECOS Enrollment IDI20150925000597, I20241205003715
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.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61469 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.

Other Providers at the Same Location NPPES 8

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

CHRISTINA BROWN
Counselor (Addiction (Substance Use Disorder))
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 867-2022
YVONNE FILLMORE ANP
Nurse Practitioner (Family)
1204 HIGHWAY 164 E, PO BOX 198
OQUAWKA, IL 61469
Henderson County (309) 867-2202
HENDERSON COUNTY RURAL HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 924-2414
HENDERSON COUNTY RURAL HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 924-2414
DR. ROLA KIM DMD
Dentist (General Practice)
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 867-2202
JORDANNE TWIGG
Dentist
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 924-2414
USMAN GHANI HUSSAIN DDS
Dentist
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 924-2414
MRS. JESSICA LYNN MCKEE RDH PHDH
Dental Hygienist
1204 HIGHWAY 164 E
OQUAWKA, IL 61469
Henderson County (309) 867-2202

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 Shannon Vanzummeren's NPI number?

The NPI number for Shannon Vanzummeren is 1205202074. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Shannon Vanzummeren located?

Shannon Vanzummeren practices at 1204 Highway 164 E PO Box 198, Oquawka, IL 61469. The listed phone number is (309) 867-2202.

What is Shannon Vanzummeren's specialty?

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

Is Shannon Vanzummeren enrolled in Medicare?

Yes. Shannon Vanzummeren 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 Shannon Vanzummeren accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Shannon Vanzummeren 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 Shannon Vanzummeren affiliated with any hospitals?

According to CMS data, Shannon Vanzummeren is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Vanzummeren was last updated on November 18, 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.