SHAWNA DONALDSON RN
NPI 1902595226
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since May 03, 2023PECOS EnrolledAccepts Medicare Assignment
1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642(773) 248-2255(773) 304-4143 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Jun 13, 2023, May 3, 2023 (3 updates tracked since 2023).

About Shawna Donaldson Rn NPPES

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

SHAWNA DONALDSON RN (NPI 1902595226) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209027450) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902595226
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAWNA DONALDSONCredential: RN
Location Address1203 W AUGUSTA BLVD STE 1Chicago, IL 60642-4327
Mailing Address1203 W Augusta Blvd Ste 1Chicago, IL 60642-4327 · (773) 248-2255 · Fax (217) 465-5615
Fax(773) 304-4143
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 3, 2023
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1902595226 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
License Licensed in IL · 209027450
1203 W AUGUSTA BLVD STE 1, Chicago, IL 60642

Accepted 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

Shawna Donaldson Rn 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 ID3274996202
PECOS Enrollment IDI20230824000181
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 11

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.
917 services225 patients
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.
782 services282 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
398 services135 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.
211 services113 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.
172 services113 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
73 services73 patients

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 Shawna Donaldson's NPI number?

The NPI number for Shawna Donaldson is 1902595226. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Shawna Donaldson located?

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

What is Shawna Donaldson's specialty?

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

Is Shawna Donaldson enrolled in Medicare?

Yes. Shawna Donaldson 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.

What insurance does Shawna Donaldson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shawna Donaldson 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 Shawna Donaldson was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.