SHANNON KATHLEEN MALE FNP-BC
NPI 1396246401
Nurse Practitioner - Family in Bourbonnais, IL

Active since February 23, 2018PECOS EnrolledAccepts Medicare Assignment
200 RIVERSIDE DR, BOURBONNAIS, IL 60914(815) 933-9660 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Feb 23, 2018 (2 updates tracked since 2018).

About Shannon Kathleen Male Fnp-bc NPPES

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

SHANNON KATHLEEN MALE FNP-BC (NPI 1396246401) is an individual family provider in Bourbonnais, Illinois, licensed in Illinois (209.016973) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Morris Hospital & Healthcare Centers, and maintains a secondary practice location in Harvey.

NPPES Registry Identity

NPI1396246401
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON KATHLEEN MALECredential: FNP-BC
Location Address200 RIVERSIDE DRBourbonnais, IL 60914-4689
Mailing Address350 N Wall StKankakee, IL 60901-2901 · (815) 671-6295
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 23, 2018
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1396246401 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 · 209.016973
200 RIVERSIDE DR, Bourbonnais, IL 60914

Secondary Practice Location 1

Location 171 W 156th St Ste 401Harvey, IL 60426-4265 · Phone (708) 339-4800 · Fax (708) 339-4814

Accepted 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

Shannon Kathleen Male Fnp-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.

PECOS PAC ID5496017022
PECOS Enrollment IDI20180320001240
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
768 services306 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140101
Location150 W High StMorris, IL 60450 · Grundy County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
Internal Medicine (Medical Oncology)
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
Internal Medicine (Medical Oncology)
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
Nurse Practitioner
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
Pharmacist
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
Radiology (Radiation Oncology)
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
Nurse Practitioner (Family)
200 RIVERSIDE DR
BOURBONNAIS, IL 60914

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 Male's NPI number?

The NPI number for Shannon Male is 1396246401. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Where is Shannon Male located?

Shannon Male practices at 200 Riverside Dr, Bourbonnais, IL 60914. The listed phone number is (815) 933-9660.

What is Shannon Male's specialty?

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

Is Shannon Male enrolled in Medicare?

Yes. Shannon Male 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 Shannon Male accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shannon Male 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.

Is Shannon Male affiliated with any hospitals?

According to CMS data, Shannon Male is affiliated with Morris Hospital & Healthcare Centers and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Male was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.