SHANNON KATHLEEN MALE (FNP-BC) – Family Nurse Practitioner, NPI 1396246401
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for SHANNON KATHLEEN MALE (FNP-BC)
1112, Coalfield Drive, Coal City, Grundy County, Illinois, 60416, United States
COAL CITY, IL 604161767
Phone: (815) 671-6295
Type: Mailing
71 W 156th St Ste 401
Harvey, IL 604264265
Phone: (708) 339-4800
Fax: (708) 339-4814
Type: Location
West 156th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
HARVEY, IL 604264265
Phone: (708) 339-4800
Fax: (708) 339-4814
Type: Location
350 N WALL ST
KANKAKEE, IL 609012901
Phone: (815) 671-6295
Type: Mailing
200 RIVERSIDE DR
BOURBONNAIS, IL 609144689
Phone: (815) 933-9660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $2,947.
Total Amount is formed as General ($2,947) + Research ($0) + Ownership ($0) = $2,947.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($476).
Total Amount
$2,947
General + Research + Ownership
Payments
126
Total payment records
General Amount
$2,947
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 | $476 |
| PFIZER INC. | $238 |
| Lilly USA, LLC | $220 |
| TerSera Therapeutics LLC | $113 |
| Eisai Inc. | $111 |
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: 2018-03-20
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 |
|---|---|---|---|---|
| I20180320001240 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 394 | 188 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 60416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| N E U R O L O G Y | NY |
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