SHANNON KEISER (DNP, FNP-BC) – Family Nurse Practitioner, NPI 1306320031
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for SHANNON KEISER (DNP, FNP-BC)
2333 N LEAVITT ST APT 3S
CHICAGO, IL 606473255
Phone: (630) 981-4218
Type: Mailing
2604 Dempster St Ste 101
Park Ridge, IL 600688425
Phone: (847) 843-3376
Fax: (847) 998-8631
Type: Location
401 Linden Ave
Wilmette, IL 600912844
Phone: (847) 843-3376
Fax: (847) 998-8631
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (206) 639-0089
Fax: (920) 684-1439
Type: Mailing
Compass Road, Glenview, Northfield Township, Cook County, Illinois, 60026, United States
GLENVIEW, IL 600268089
Phone: (847) 843-3376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 234 Open Payments records for all available years, with a total value of $4,621.
Total Amount is formed as General ($4,621) + Research ($0) + Ownership ($0) = $4,621.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,244).
Total Amount
$4,621
General + Research + Ownership
Payments
234
Total payment records
General Amount
$4,621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,244 |
| Janssen Biotech, Inc. | $721 |
| Regeneron Healthcare Solutions, Inc. | $656 |
| Lilly USA, LLC | $476 |
| Dermavant Sciences, Inc. | $248 |
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: 2019-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190322000677 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 672 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 152 | 100 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 150 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 94 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 133 | 81 | $0 |
Insurance plans in this area (ZIP 60647)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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