DR. SHINEY J. VARGHESE (DNP, FNP-BC) – Family Nurse Practitioner, NPI 1508088485

DR. SHINEY J. VARGHESE (DNP, FNP-BC) is a healthcare provider. based in Gurnee, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC. They hold a License No. 209-004833 (IL). The NPI Number for DR. SHINEY J. VARGHESE (DNP, FNP-BC) is 1508088485

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHINEY J. VARGHESE (DNP, FNP-BC)
NPI
1508088485
Phone
(847) 566-3337
Address
731 S ILLINOIS ROUTE 21
Enumeration Date
2 May 2007
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2003 (23 years ago)
PAC ID
9234113648
Group Practice PAC ID
8729171566
Professional Enrollment ID
I20040615000181
Address ID
IL600451920LA520XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DR. SHINEY J. VARGHESE (DNP, FNP-BC)

  • 731 S ILLINOIS ROUTE 21

    GURNEE, IL 600313813

    Phone: (847) 566-3337

    Fax: (847) 816-3166

    Type: Mailing

  • 520 N WESTERN AVE

    LAKE FOREST, IL 600451920

    Phone: (866) 389-2727

    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: 2004-06-15

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
I20040615000181INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1212$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
G0008Administration of influenza virus vaccine1212$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1212$0
91322Sarscov2 vac 50 mcg/0.5ml im1111$0
View full utilization report →

Insurance plans in this area (ZIP 60031)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729171566View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHINEY J. VARGHESE (DNP, FNP-BC)?
DR. SHINEY J. VARGHESE (DNP, FNP-BC) — NPI 1508088485 — is the standard way to identify this listing.
Is DR. SHINEY J. VARGHESE (DNP, FNP-BC) listed as active for patients and plans?
The listing shows DR. SHINEY J. VARGHESE (DNP, FNP-BC) as active in the NPI system.
What taxonomy line describes DR. SHINEY J. VARGHESE (DNP, FNP-BC)?
For research purposes, treat DR. SHINEY J. VARGHESE (DNP, FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. SHINEY J. VARGHESE (DNP, FNP-BC) list a practice location?
Patients near Gurnee, Illinois may find DR. SHINEY J. VARGHESE (DNP, FNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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