SHANNON L EGAN (APRN,CNP) – Family Nurse Practitioner, NPI 1043098445

SHANNON L EGAN (APRN,CNP) is a healthcare provider. based in Galesburg, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN,CNP. They hold a License No. 209.028961 (IL). The NPI Number for SHANNON L EGAN (APRN,CNP) is 1043098445

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON L EGAN (APRN,CNP)
NPI
1043098445
Phone
(309) 345-9440
Address
3315 N SEMINARY ST
Enumeration Date
18 September 2023
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093435114
Graduation Year
2023 (3 years ago)
PAC ID
9537511654
Group Practice PAC ID
8628038015
Professional Enrollment ID
I20240113000732
Address ID
IL614011251GA3375XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SHANNON L EGAN (APRN,CNP)

  • 3315 N SEMINARY ST

    GALESBURG, IL 614011251

    Phone: (309) 345-9440

    Mailing address matches the actual address.

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: 2024-01-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240113000732INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 61401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628038015View full group profile
NameSpecialtyState
Nurse PractitionerIA
-IL
-IL
Family PracticeIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
Clinical Social WorkerIL
Certified Registered Nurse Anesthetist (Crna)IL
Family PracticeIL

Reviews

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Frequently asked questions

What is the standard ID for SHANNON L EGAN (APRN,CNP) in the U.S.?
In the U.S., SHANNON L EGAN (APRN,CNP) is identified by NPI 1043098445.
Should I treat SHANNON L EGAN (APRN,CNP) as an active provider?
Patients and plans typically see SHANNON L EGAN (APRN,CNP) as active in the national extract.
How should patients interpret SHANNON L EGAN (APRN,CNP)'s specialty?
The extract shows Family Nurse Practitioner for SHANNON L EGAN (APRN,CNP). Clinical services aligned with this taxonomy classification.
Which community is linked to SHANNON L EGAN (APRN,CNP)?
SHANNON L EGAN (APRN,CNP) shows a connection to Galesburg, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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