SHANNON LYN BARTOLUCCI (NP) – Gerontology Nurse Practitioner, NPI 1770888901

SHANNON LYN BARTOLUCCI (NP) is a healthcare provider. based in Glen ellyn, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209.004191 (IL). The NPI Number for SHANNON LYN BARTOLUCCI (NP) is 1770888901

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LYN BARTOLUCCI (NP)
NPI
1770888901
Phone
(630) 858-3737
Address
427 COTTAGE AVE
Enumeration Date
19 January 2011
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
6307507920
Graduation Year
1996 (30 years ago)
PAC ID
3870734411
Group Practice PAC ID
3274817481
Professional Enrollment ID
I20130724000900
Address ID
IL605152602DO1909XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SHANNON LYN BARTOLUCCI (NP)

  • 427 COTTAGE AVE

    GLEN ELLYN, IL 601374406

    Phone: (630) 858-3737

    Type: Mailing

  • 977 N OAKLAWN AVE

    SUITE 104

    ELMHURST, IL 601261045

    Phone: (630) 832-1775

    Fax: (630) 832-1775

    Type: Location

  • 415 ANTHONY ST

    GLEN ELLYN, IL 601374419

    Phone: (630) 864-7410

    Type: Mailing

  • 1909 OGDEN AVE STE A

    DOWNERS GROVE, IL 605152602

    Phone: (630) 832-1775

    Fax: (630) 832-1775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Lundbeck LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$14
View all Open Payments →|Open Payments Risk Radar →

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: 2013-07-24

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
I20130724000900INurse 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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1,817925$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,7491,251$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes772261$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes7753$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7260$0
View full utilization report →

Insurance plans in this area (ZIP 60137)

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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: 3274817481View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

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Frequently asked questions

How do I look up SHANNON LYN BARTOLUCCI (NP) by NPI?
Use NPI 1770888901 when you need to reference SHANNON LYN BARTOLUCCI (NP) in forms, claims, or directories.
Is SHANNON LYN BARTOLUCCI (NP) active in the national directory?
SHANNON LYN BARTOLUCCI (NP)'s public NPI profile is in an active state.
Can you summarize SHANNON LYN BARTOLUCCI (NP)'s specialty in plain language?
Clinically, the directory lists SHANNON LYN BARTOLUCCI (NP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SHANNON LYN BARTOLUCCI (NP)?
The snapshot lists Glen Ellyn, Illinois for SHANNON LYN BARTOLUCCI (NP); download NPPES for the complete set.
What if Glen Ellyn, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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