DR. JONATHAN MEYER SHAFER DNP, APRN, PMHNP-BC
NPI 1780483222
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment
1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642(773) 248-2255 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, May 9, 2025, Mar 27, 2025 and 1 more (4 updates tracked since 2025).

About Dr. Jonathan Meyer Shafer Dnp, Aprn, Pmhnp-bc NPPES

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

DR. JONATHAN MEYER SHAFER DNP, APRN, PMHNP-BC (NPI 1780483222) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.032353) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780483222
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JONATHAN MEYER SHAFERCredential: DNP, APRN, PMHNP-BC
Location Address1203 W AUGUSTA BLVD STE 1Chicago, IL 60642-4327
Mailing Address14720 Chesterfield Trails DrChesterfield, MO 63017-5633
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2025
Last NPPES UpdateMay 13, 20254 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1780483222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in IL · 209.032353 Licensed in MO · 2025007027
1203 W AUGUSTA BLVD STE 1, Chicago, IL 60642

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

Dr. Jonathan Meyer Shafer Dnp, Aprn, Pmhnp-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 ID2769994607
PECOS Enrollment IDI20250625002579
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Nurse Practitioner
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Nurse Practitioner (Family)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Psychiatry & Neurology (Psychiatry)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642

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 Jonathan Shafer's NPI number?

The NPI number for Jonathan Shafer is 1780483222. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Jonathan Shafer located?

Jonathan Shafer practices at 1203 W Augusta Blvd Ste 1, Chicago, IL 60642. The listed phone number is (773) 248-2255.

What is Jonathan Shafer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Shafer enrolled in Medicare?

Yes. Jonathan Shafer 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.

When was this NPI record last updated?

The NPPES record for Jonathan Shafer was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.