SHANNON HOLLAND (PA-C) – Medical Physician Assistant, NPI 1295762821
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for SHANNON HOLLAND (PA-C)
838, Shandrew Drive, Vintage Club, Naperville, Naperville Township, DuPage County, Illinois, 60540, United States
NAPERVILLE, IL 605408223
Phone: (630) 357-4852
Type: Mailing
810, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States
EBERLE BUILDING, SUITE 605
ELK GROVE VILLAGE, IL 600077312
Phone: (847) 364-6724
Fax: (847) 364-6720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $1,066.
Total Amount is formed as General ($1,066) + Research ($0) + Ownership ($0) = $1,066.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Abbott Laboratories ($196).
Total Amount
$1,066
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,066
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $196 |
| Dexcom, Inc. | $122 |
| Phathom Pharmaceuticals, Inc. | $121 |
| PFIZER INC. | $84 |
| Merck Sharp & Dohme LLC | $76 |
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: 2018-05-25
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 |
|---|---|---|---|---|
| I20180525001530 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 401 | 342 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 222 | 191 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 178 | 166 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 105 | 105 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 46 | 23 | $0 |
Insurance plans in this area (ZIP 60540)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
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