SHAKIRA AYANLAJA (APN) – Family Nurse Practitioner, NPI 1003371717
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for SHAKIRA AYANLAJA (APN)
15612 Pine Rd
Oak Forest, IL 604522620
Phone: (773) 759-2168
Type: Location
15612, Pine Road, Oak Forest, Bremen Township, Cook County, Illinois, 60452, United States
OAK FOREST, IL 604522620
Phone: (773) 759-2168
Type: Mailing
Roseland Community Hospital, 45, West 111th Street, Roseland, Morgan Park, Chicago, Lake Township, Cook County, Illinois, 60628, United States
CHICAGO, IL 606284200
Phone: (773) 995-3195
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190912002785 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60452)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| P S Y C H I A T R Y | IL | |
| General Surgery | IL | |
| Orthopedic Surgery | IN | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | IL | |
| Ophthalmology, Plastic And Reconstructive Surgery | IL | |
| Nurse Practitioner | MO | |
| P O D I A T R Y | IL | |
| P S Y C H I A T R Y | IL |
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