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SHAMMONA CLARK FNP-C
NPI 1235785809
Nurse Practitioner - Family in Chicago, IL

Active since August 09, 2019PECOS Enrolled
2600 S MICHIGAN AVE, STE LLD, CHICAGO, IL 60617(312) 866-4642 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2025, Aug 17, 2023, Jul 22, 2022 and 3 more (6 updates tracked since 2019).

About Shammona Clark Fnp-c NPPES

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

SHAMMONA CLARK FNP-C (NPI 1235785809) is an individual family provider in Chicago, Illinois, licensed in Illinois (209020109) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235785809
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAMMONA CLARKCredential: FNP-C
Location Address2600 S MICHIGAN AVE, STE LLDChicago, IL 60617-3512
Mailing Address2600 S Michigan Ave, Ste LldChicago, IL 60616 · (312) 866-4642
Phone(312) 866-4642
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2019
Last NPPES UpdateMarch 31, 20256 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1235785809 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 · 209020109
2600 S MICHIGAN AVE, Chicago, IL 60617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shammona Clark Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587098520
PECOS Enrollment IDI20200103001384
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Shammona Clark's NPI number?

The NPI number for Shammona Clark is 1235785809. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Shammona Clark located?

Shammona Clark practices at 2600 S Michigan Ave Ste Lld, Chicago, IL 60617. The listed phone number is (312) 866-4642.

What is Shammona Clark's specialty?

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

Is Shammona Clark enrolled in Medicare?

Yes. Shammona Clark is registered in the Medicare PECOS enrollment system.

What insurance does Shammona Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shammona Clark 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 Shammona Clark was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.