SHANNON HOUDA – Family Nurse Practitioner, NPI 1811322027

SHANNON HOUDA is a healthcare provider. based in Willowbrook, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. APRN-280203 (MT). The NPI Number for SHANNON HOUDA is 1811322027

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON HOUDA
NPI
1811322027
Phone
(866) 389-2727
Address
7601 KINGERY HWY
Enumeration Date
6 September 2013
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2012 (14 years ago)
PAC ID
3274760293
Group Practice PAC ID
8729171566
Professional Enrollment ID
I20131219001817
Address ID
IL605029062AU300XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:12State licenses:11Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SHANNON HOUDA

  • 7601 KINGERY HWY

    WILLOWBROOK, IL 605275538

    Phone: (866) 389-2727

    Mailing address matches the actual address.

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: 2013-12-19

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
I20131219001817INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1313$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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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 unique ID ties claims to SHANNON HOUDA?
NPI 1811322027 is assigned to SHANNON HOUDA under the national enumeration system.
Is SHANNON HOUDA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SHANNON HOUDA's specialty in plain language?
Clinically, the directory lists SHANNON HOUDA with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SHANNON HOUDA's primary listing?
We display Willowbrook, Illinois because that is what the record indicates for SHANNON HOUDA.
How can I contact SHANNON HOUDA?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.