MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245758580

MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN, PMHNP-BC. They hold a License No. 209.016033 (IL). The NPI Number for MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) is 1245758580

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. COREY WENDELL SHUMATE (APN, PMHNP-BC)
NPI
1245758580
Phone
(773) 884-7640
Address
2701 W 68TH ST
Enumeration Date
7 September 2017
Last Update Date
9 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7734844425
Graduation Year
2016 (10 years ago)
PAC ID
5991071714
Group Practice PAC ID
1254321474
Professional Enrollment ID
I20171024000582
Address ID
IL606233501CH2875XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. COREY WENDELL SHUMATE (APN, PMHNP-BC)

  • 2701 W 68TH ST

    CHICAGO, IL 606291882

    Phone: (773) 884-7640

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $482.

Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($196).

Total Amount

$482

General + Research + Ownership

Payments

6

Total payment records

General Amount

$482

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2017-10-24

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
I20171024000582INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6118$0
99213Established patient office or other outpatient visit, 20-29 minutes4416$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2120$0
90792Psychiatric diagnostic evaluation with medical services1313$0
View full utilization report →

Insurance plans in this area (ZIP 60629)

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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: 1254321474View full group profile
NameSpecialtyState
Family Practice, General PracticeOK
Cardiovascular Disease (Cardiology)AZ
U R O L O G YIL
Internal Medicine, Gastroenterology, Internal MedicineIL
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
P A T H O L O G YIL
General SurgeryIL
Nurse PractitionerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Can I verify MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) with an NPI only?
You can start verification with NPI 1245758580 for MR. COREY WENDELL SHUMATE (APN, PMHNP-BC), then check state licensing separately.
Can I rely on MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) being an active provider?
As of the registry snapshot, MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) is marked active.
What taxonomy line describes MR. COREY WENDELL SHUMATE (APN, PMHNP-BC)?
For research purposes, treat MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) list a practice location?
Patients near Chicago, Illinois may find MR. COREY WENDELL SHUMATE (APN, PMHNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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