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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: October 18, 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
Phone(773) 248-2255
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bespoke Psychiatry
Same address
Psychiatry
1203 W AUGUSTA BLVD STE 1
Chicago, IL 60642
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 56 clinicians in this Medicare group
NPI 1952937104 (773) 248-2255

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 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.

TRENIQUEA BRADFORD FNP-BC
Registered Nurse
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
ELIZABETH M WENGEL APN
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
MS. OLAYINKA ADEOLA ADEBIYI NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
TONYA M DAVIS
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
GEORGE ALEXANDER JENSEN NP
Nurse Practitioner
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
MARIA OLIMPO FNP-BC
Nurse Practitioner (Family)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
MS. RAEGAN NOEL COLEMAN PA-C
Physician Assistant
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255
MARY ANN VILLALON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642
Cook County (773) 248-2255

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.

Which organization bills Medicare for Jonathan Shafer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Shafer reassigns Medicare benefits to Bespoke Psychiatry (Chicago, 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 Jonathan Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Shafer accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jonathan Shafer 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 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 17 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.