1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Speech Language Pathologist
  6. NPI Profile

SHANNON FOGARTY
NPI 1225789050
Speech-Language Pathologist in Chicago, IL

Active since January 13, 2022Accepts Medicare Assignment
5516 N OLCOTT AVE, CHICAGO, IL 60656(773) 339-0183 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Fogarty NPPES

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

SHANNON FOGARTY (NPI 1225789050) is an individual speech-language pathologist provider in Chicago, Illinois and active in the NPI registry since January 2022. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1225789050
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON FOGARTY
Location Address5516 N OLCOTT AVEChicago, IL 60656-1749
Mailing Address5516 N Olcott AveChicago, IL 60656-1749
Phone(773) 339-0183
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1225789050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5516 N OLCOTT AVE, Chicago, IL 60656
Open in Google Maps ↗

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

Shannon Fogarty 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 ID8426441932
PECOS Enrollment IDI20220204002051

Medicare Billing Reassignment

Medicare enrollment records show Shannon Fogarty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Paxxon Healthcare Services LLC
7.0 mi
Physical Therapist
1035 MADISON ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1063784148 (708) 848-7200

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 3

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.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130
This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.
237 services21 patients
Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
95 services21 patients
Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
78 services26 patients

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 Fogarty's NPI number?

The NPI number for Shannon Fogarty is 1225789050. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Shannon Fogarty located?

Shannon Fogarty practices at 5516 N Olcott Ave, Chicago, IL 60656. The listed phone number is (773) 339-0183.

What is Shannon Fogarty's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shannon Fogarty enrolled in Medicare?

Yes. Shannon Fogarty 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 Shannon Fogarty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fogarty reassigns Medicare benefits to Paxxon Healthcare Services LLC (Oak Park, 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 Shannon Fogarty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Fogarty was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.