KAYLA SHOEMAKER – Mental Health Counselor, NPI 1255636569

KAYLA SHOEMAKER is a healthcare provider. based in Paxton, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149023364 (IL). The NPI Number for KAYLA SHOEMAKER is 1255636569

Main info

Female
15 Years Of Experience
Name
KAYLA SHOEMAKER
NPI
1255636569
Phone
(217) 379-4302
Address
1510 W OTTAWA RD
Enumeration Date
18 January 2011
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8159976654
Graduation Year
2011 (15 years ago)
PAC ID
0143700989
Group Practice PAC ID
5395233837
Professional Enrollment ID
I20260219001061
Address ID
IL610209428DA306XXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for KAYLA SHOEMAKER

  • 1510 W OTTAWA RD

    PAXTON, IL 609574090

    Phone: (217) 379-4302

    Fax: (217) 379-4304

    Type: Mailing

  • 7332 BEST RD

    PECATONICA, IL 610638847

    Phone:

    Type: Mailing

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: 2026-02-19

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
I20260219001061IClinical Social WorkerILTBD

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 60957)

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Reviews

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Frequently asked questions

Is KAYLA SHOEMAKER listed with a National Provider Identifier?
Yes — KAYLA SHOEMAKER has NPI 1255636569 on file in the registry.
Is KAYLA SHOEMAKER still an active registrant?
KAYLA SHOEMAKER carries an active NPI according to the public dataset.
What kind of doctor is KAYLA SHOEMAKER?
KAYLA SHOEMAKER is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is KAYLA SHOEMAKER registered?
Use Paxton, Illinois as the headline location for KAYLA SHOEMAKER here.
Does KAYLA SHOEMAKER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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