MARY SHIELLAH BLANCAFLOR JAMES (N.P.) – Family Nurse Practitioner, NPI 1639415979
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MARY SHIELLAH BLANCAFLOR JAMES (N.P.)
17808 S MCCARRON RD
HOMER GLEN, IL 604919776
Phone: (708) 825-7052
Type: Mailing
6700 167TH ST STE 4
TINLEY PARK, IL 604772078
Phone: (708) 429-3700
Fax: (708) 429-4460
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
3825 HIGHLAND AVE FL 4
DOWNERS GROVE, IL 605151552
Phone: (630) 719-4799
Fax: (630) 963-7420
Type: Location
6700 167th St Ste 4
Tinley Park, IL 604772078
Phone: (708) 429-3700
Fax: (708) 429-4460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,916.
Total Amount is formed as General ($1,916) + Research ($0) + Ownership ($0) = $1,916.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Abbott Laboratories ($1,449).
Total Amount
$1,916
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,916
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,449 |
| Janssen Pharmaceuticals, Inc | $147 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $135 |
| Edwards Lifesciences Corporation | $135 |
| ABBVIE INC. | $25 |
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: 2013-03-27
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 |
|---|---|---|---|---|
| I20130327000544 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60491)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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