SHANA ROUSHIA FPA, APN, FNP-C
NPI 1699313825
Nurse Practitioner - Family in Rockford, IL

Q: What is Shana Roushia's NPI number?

The NPI number for Shana Roushia is 1699313825. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Q: What is Shana Roushia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shana Roushia was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment

4215 NEWBURG RD, ROCKFORD, IL 61108(815) 988-8500(815) 977-5956 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Dec 18, 2019 (2 updates tracked since 2019).

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About Shana Roushia Fpa, Apn, Fnp-c NPPES

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

SHANA ROUSHIA FPA, APN, FNP-C (NPI 1699313825) is an individual family provider in Rockford, Illinois, licensed in Illinois (277.002439) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699313825

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANA ROUSHIACredential: FPA, APN, FNP-C

Location Address4215 NEWBURG RDRockford, IL 61108-6479

Mailing Address4215 Newburg RdRockford, IL 61108-6479 · (815) 988-8500 · Fax (815) 977-5956

Phone(815) 988-8500

Fax(815) 977-5956

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 18, 2019

Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1699313825 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 · 277.002439

4215 NEWBURG RD, Rockford, IL 61108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Molina Healthcare and more.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

Shana Roushia Fpa, Apn, Fnp-c 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 ID9830526466

PECOS Enrollment IDI20230413001037, I20231019001125, I20231122000810, I20231211001369

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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,127 services1,072 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

619 services592 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

328 services323 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

24 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

16 services16 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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.

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Other Providers at the Same Location NPPES 20

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

CANDICE VICENCIO DNP, FNP-BC

Nurse Practitioner