SHAUNA SUMMERS
NPI 1487134110
Counselor - Professional in Peoria, IL
About Shauna Summers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUNA SUMMERS (NPI 1487134110) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180011625) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shauna Summers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shauna Summers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shauna Summers's NPI number?
The NPI number for Shauna Summers is 1487134110. It was assigned to this individual provider in the NPPES registry on August 21, 2018.
Where is Shauna Summers located?
Shauna Summers practices at 809 W Detweiller Dr Ste 804C, Peoria, IL 61615. The listed phone number is (309) 323-9699.
What is Shauna Summers's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shauna Summers enrolled in Medicare?
Yes. Shauna Summers is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shauna Summers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Summers reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, 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 Shauna Summers'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 Shauna Summers was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shauna Summers · NPI 1487134110
Professional provider in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since August 21, 2018.
## Identity
- **NPI:** 1487134110 (Entity type: Individual)
- **Enumerated:** August 21, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180011625 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 809 W DETWEILLER DR STE 804C, Peoria, IL 61615-2132
- **Phone:** (309) 323-9699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487134110) · Data from the CMS NPPES public registry.