MR. KETAN MAHENDRA SHAH (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689959900
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MR. KETAN MAHENDRA SHAH (PMHNP-BC)
422 N PROSPECT ST
WHEATON, IL 601875839
Phone:
Type: Mailing
111 N COUNTY FARM RD
WHEATON, IL 601873977
Phone:
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: 2013-01-28
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 |
|---|---|---|---|---|
| I20130128000528 | 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 | 254 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 165 | 58 | $0 |
| 90837 | Psychotherapy, 1 hour | 118 | 49 | $0 |
| 90834 | Psychotherapy, 45 minutes | 70 | 36 | $0 |
| 90832 | Psychotherapy, 30 minutes | 28 | 16 | $0 |
Insurance plans in this area (ZIP 60187)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IL | 90792 | Psychiatric diagnostic evaluation with medical services | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| - | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Mental Health Counselor | IL |
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