SHANE EXNER PMHNP-BC
NPI 1205637261
Nurse Practitioner - Psychiatric/Mental Health in Harvey, IL
About Shane Exner Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE EXNER PMHNP-BC (NPI 1205637261) is an individual psychiatric/mental health provider in Harvey, Illinois, licensed in Illinois (209031917) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Ingalls Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Shane Exner Pmhnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Shane Exner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 37 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ingalls Memorial Hospital
Acute Care Hospitals · Harvey, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARVEY, IL 60426
HARVEY, IL 60426
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 Shane Exner's NPI number?
The NPI number for Shane Exner is 1205637261. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Shane Exner located?
Shane Exner practices at 1 Ingalls Dr, Harvey, IL 60426. The listed phone number is (708) 915-5441.
What is Shane Exner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shane Exner enrolled in Medicare?
Yes. Shane Exner 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 organization bills Medicare for Shane Exner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Exner reassigns Medicare benefits to Mugen Psychiatry LLC (Oak Brook, IL). The 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 Shane Exner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shane Exner affiliated with any hospitals?
According to CMS data, Shane Exner is affiliated with Ingalls Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shane Exner was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Shane Exner, PMHNP-BC · NPI 1205637261
Psychiatric/Mental Health physician in Harvey, Illinois. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1205637261 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209031917 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 INGALLS DR, Harvey, IL 60426-3558
- **Phone:** (708) 915-5441
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mugen Psychiatry LLC (NPI 1861146284, Oak Brook, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205637261) · Data from the CMS NPPES public registry.