DR. SHINEY J. VARGHESE DNP, FNP-BC
NPI 1508088485
Nurse Practitioner - Family in Lake Forest, IL

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
520 N WESTERN AVE, LAKE FOREST, IL 60045(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shiney J. Varghese Dnp, Fnp-bc NPPES

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

DR. SHINEY J. VARGHESE DNP, FNP-BC (NPI 1508088485) is an individual family provider in Lake Forest, Illinois, licensed in Illinois (209-004833) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1508088485
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SHINEY J. VARGHESECredential: DNP, FNP-BC
Location Address520 N WESTERN AVELake Forest, IL 60045-1920
Mailing Address520 N Western AveLake Forest, IL 60045-1920 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1508088485 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 · 209-004833
520 N WESTERN AVE, Lake Forest, IL 60045

Accepted 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

Dr. Shiney J. Varghese Dnp, 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 ID9234113648
PECOS Enrollment IDI20040615000181
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

2

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

Family
11200 W LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 223 clinicians in this Medicare group
Family
11200 LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 115 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
520 N WESTERN AVE
LAKE FOREST, IL 60045
Pharmacist
520 N WESTERN AVE
LAKE FOREST, IL 60045
Nurse Practitioner (Family)
520 N WESTERN AVE
LAKE FOREST, IL 60045
Pharmacist
520 N WESTERN AVE
LAKE FOREST, IL 60045
Pharmacist
520 N WESTERN AVE
LAKE FOREST, IL 60045
Pharmacy
520 N WESTERN AVE
LAKE FOREST, IL 60045

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 Shiney Varghese's NPI number?

The NPI number for Shiney Varghese is 1508088485. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Shiney Varghese located?

Shiney Varghese practices at 520 N Western Ave, Lake Forest, IL 60045. The listed phone number is (866) 389-2727.

What is Shiney Varghese's specialty?

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

Is Shiney Varghese enrolled in Medicare?

Yes. Shiney Varghese 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 Shiney Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shiney Varghese reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL) and Minuteclinic Primary Care Illinois PLLC (Mokena, 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 Shiney Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shiney Varghese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shiney Varghese 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 Shiney Varghese was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.