SHANNA WITGES (APRN NP-C) – Nurse Practitioner, NPI 1376882647
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for SHANNA WITGES (APRN NP-C)
509 HAMACHER ST STE 102
WATERLOO, IL 622981592
Phone: (618) 939-3939
Type: Location
509 HAMACHER ST
SUITE 102
WATERLOO, IL 622981592
Phone: (618) 939-3939
Fax: (618) 939-3941
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,502.
Total Amount is formed as General ($1,502) + Research ($0) + Ownership ($0) = $1,502.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($488).
Total Amount
$1,502
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $488 |
| ABBVIE INC. | $299 |
| Amgen Inc. | $152 |
| Novo Nordisk Inc | $86 |
| Lilly USA, LLC | $80 |
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: 2013-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20131108000567 | I | Nurse Practitioner | IL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 20 | 20 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 17 | 12 | $0 |
Insurance plans in this area (ZIP 62298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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