SHAUNA L BIVENS (FNP) – Family Nurse Practitioner, NPI 1194279000

SHAUNA L BIVENS (FNP) is a healthcare provider. based in Pekin, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209014443 (IL). The NPI Number for SHAUNA L BIVENS (FNP) is 1194279000

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
SHAUNA L BIVENS (FNP)
NPI
1194279000
Phone
(309) 347-4277
Address
3400 GRIFFIN AVE.
Enumeration Date
9 August 2016
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093474277
Graduation Year
2016 (10 years ago)
PAC ID
0244527919
Group Practice PAC ID
7618949207
Professional Enrollment ID
I20160922002867
Address ID
IL615546246PE3400XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for SHAUNA L BIVENS (FNP)

  • Griffin Avenue, Pekin Heights, Pekin, Tazewell County, Illinois, 61554, United States

    PEKIN, IL 61554

    Phone: (309) 347-4277

    Fax: (309) 347-4388

    Type: Location

  • PO BOX 19248

    SPRINGFIELD, IL 627949248

    Phone: (217) 528-7541

    Fax: (309) 347-4388

    Type: Mailing

  • 3400 GRIFFIN AVE

    PEKIN, IL 615546246

    Phone: (309) 347-4277

    Fax: (309) 347-4388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $786.

Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($168).

Total Amount

$786

General + Research + Ownership

Payments

30

Total payment records

General Amount

$786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2016-09-22

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
I20160922002867INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes288161$0
99213Established patient office or other outpatient visit, 20-29 minutes173121$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose14239$0
G0444Annual depression screening, 5 to 15 minutes115115$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9898$0
View full utilization report →

Insurance plans in this area (ZIP 61554)

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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: 7618949207View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does SHAUNA L BIVENS (FNP) have a public NPI I can cite?
Public records show SHAUNA L BIVENS (FNP) under NPI 1194279000.
Is SHAUNA L BIVENS (FNP) currently accepting referrals based on NPI status?
Registry metadata lists SHAUNA L BIVENS (FNP) as active.
What type of care does SHAUNA L BIVENS (FNP) provide?
SHAUNA L BIVENS (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to SHAUNA L BIVENS (FNP)?
The directory associates SHAUNA L BIVENS (FNP) with Pekin, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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