SHANNA M LITTEKEN (PA-C) – Physician Assistant, NPI 1073940649

SHANNA M LITTEKEN (PA-C) is a healthcare provider. based in Breese, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085004836 (IL). The NPI Number for SHANNA M LITTEKEN (PA-C) is 1073940649

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SHANNA M LITTEKEN (PA-C)
NPI
1073940649
Phone
(618) 304-5356
Address
14017 JAMESTOWN RD
Enumeration Date
27 September 2013
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362206969
Graduation Year
2013 (13 years ago)
PAC ID
0446485098
Group Practice PAC ID
3173654936
Professional Enrollment ID
I20140821001722
Address ID
MO630113077BA15425RDXX302

Contacts

Secure Messaging
slitteken165217@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness95
Years active:12State licenses:1Other names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for SHANNA M LITTEKEN (PA-C)

  • 14017 JAMESTOWN RD

    BREESE, IL 622303647

    Phone: (618) 304-5356

    Type: Mailing

  • 1094 N 9TH ST

    BREESE, IL 622301364

    Phone: (618) 304-5356

    Type: Mailing

  • 333 S KIRKWOOD RD

    SUITE 200

    SAINT LOUIS, MO 631226161

    Phone: (314) 909-1666

    Fax: (314) 909-7406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $2,443.

Total Amount is formed as General ($2,443) + Research ($0) + Ownership ($0) = $2,443.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Elite Orthopedics, LLC ($948).

Total Amount

$2,443

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131106001902IPhysician AssistantILTBD
I20140821001722IPhysician AssistantMOTBD

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 62230)

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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: 3173654936View full group profile
NameSpecialtyState
Orthopedic SurgeryMO
Nurse PractitionerMO
Orthopedic SurgeryMO
Orthopedic SurgeryMO
Orthopedic Surgery, Sports MedicineMO
Orthopedic SurgeryMO
Internal Medicine, HospitalistMO
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHANNA M LITTEKEN (PA-C)?
SHANNA M LITTEKEN (PA-C) — NPI 1073940649 — is the standard way to identify this listing.
Does the file indicate SHANNA M LITTEKEN (PA-C) is practicing under active NPI?
Directory data currently reports SHANNA M LITTEKEN (PA-C) as active.
What taxonomy line describes SHANNA M LITTEKEN (PA-C)?
For research purposes, treat SHANNA M LITTEKEN (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SHANNA M LITTEKEN (PA-C) on a map?
Expect Breese, Illinois as a primary anchor for SHANNA M LITTEKEN (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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