SHAMMONA CLARK (FNP-C) – Family Nurse Practitioner, NPI 1235785809
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for SHAMMONA CLARK (FNP-C)
7708, South Constance Avenue, South Shore, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States
CHICAGO, IL 606494608
Phone: (574) 298-3090
Type: Location
9133 S STONY ISLAND AVE
CHICAGO, IL 606173512
Phone: (574) 298-3090
Type: Location
2600 S MICHIGAN AVE
STE LLD
CHICAGO, IL 60616
Phone: (312) 866-4642
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 131 Open Payments records for all available years, with a total value of $128,475.
Total Amount is formed as General ($128,475) + Research ($0) + Ownership ($0) = $128,475.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($115,293).
Total Amount
$128,475
General + Research + Ownership
Payments
131
Total payment records
General Amount
$128,475
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $115,293 |
| Neurocrine BioSciences Inc. | $11,565 |
| Sumitomo Pharma America, Inc. | $1,090 |
| Lilly USA, LLC | $264 |
| Novo Nordisk Inc | $161 |
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: 2020-01-03
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 |
|---|---|---|---|---|
| I20200103001384 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 54 | 22 | $0 |
Insurance plans in this area (ZIP 60649)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL |
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