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

Q: 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.

Q: 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.

Q: 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 22 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.

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: November 01, 2026.

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

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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 Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Shina Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

0.1 mi

Cardiovascular Disease

3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1285903849 (630) 719-4799

Harshad M. Mehta MD Sc

18 mi

Psychiatry

2850 W. 95TH STREET, SUITE 206
Evergreen Park, IL 60805

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1629334743 (708) 425-8900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Shina Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shina Gordon reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL) and Harshad M. Mehta MD Sc (Evergreen Park, IL). Each 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 Shina Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shina Gordon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar 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 22 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.