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SHINA KEAONIS GORDON FNP
NPI 1295197697
Nurse Practitioner - Psychiatric/Mental Health in Downers Grove, IL

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
3743 HIGHLAND AVE # 2001, DOWNERS GROVE, IL 60515(630) 719-5454(630) 719-1263 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Oct 2, 2024, Oct 11, 2023 and 1 more (4 updates tracked since 2016).

About Shina Keaonis Gordon Fnp NPPES

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

SHINA KEAONIS GORDON FNP (NPI 1295197697) is an individual psychiatric/mental health provider in Downers Grove, Illinois, licensed in Illinois (277-002521) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295197697
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHINA KEAONIS GORDONCredential: FNP
Location Address3743 HIGHLAND AVE # 2001Downers Grove, IL 60515-1594
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(630) 719-5454
Fax(630) 719-1263
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2016
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1295197697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277-002521
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209013602 (IL)
3743 HIGHLAND AVE # 2001, Downers Grove, IL 60515
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Secondary Practice Locations 2

Location 14101 1st AveLyons, IL 60534-1028 · Phone (800) 323-8622 · Fax (224) 225-0394
Location 21341 Warren AveDowners Grove, IL 60515-3437 · Phone (630) 719-5454

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 and accepts Medicare assignment

Shina Keaonis Gordon Fnp 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 ID8224320031
PECOS Enrollment IDI20160714000307
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 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 Shina Gordon's NPI number?

The NPI number for Shina Gordon is 1295197697. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Shina Gordon located?

Shina Gordon practices at 3743 Highland Ave # 2001, Downers Grove, IL 60515. The listed phone number is (630) 719-5454.

What is Shina Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shina Gordon enrolled in Medicare?

Yes. Shina Gordon 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 Shina Gordon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shina Gordon 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 Shina Gordon was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.