MS. SHAMERRA COLVARD (APRN) – Family Nurse Practitioner, NPI 1811612179

MS. SHAMERRA COLVARD (APRN) is a healthcare provider. based in Willowbrook, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 277.003658 (IL). The NPI Number for MS. SHAMERRA COLVARD (APRN) is 1811612179

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHAMERRA COLVARD (APRN)
NPI
1811612179
Phone
(630) 581-5372
Address
40 75TH ST
Enumeration Date
10 October 2022
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7752873290
Graduation Year
2022 (4 years ago)
PAC ID
1052780509
Group Practice PAC ID
5799129730
Professional Enrollment ID
I20221206001218
Address ID
IL622062604CA3354XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. SHAMERRA COLVARD (APRN)

  • 40 75TH ST

    WILLOWBROOK, IL 605272325

    Phone: (630) 581-5372

    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: 2022-12-06

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
I20221206001218INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 5799129730View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineNJ
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is MS. SHAMERRA COLVARD (APRN)'s NPI number?
MS. SHAMERRA COLVARD (APRN)'s NPI is 1811612179 — the number used across U.S. healthcare to identify this provider.
Would MS. SHAMERRA COLVARD (APRN) appear as active to a payer?
You can treat MS. SHAMERRA COLVARD (APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MS. SHAMERRA COLVARD (APRN)?
MS. SHAMERRA COLVARD (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. SHAMERRA COLVARD (APRN) located near Willowbrook?
MS. SHAMERRA COLVARD (APRN) currently maps to Willowbrook, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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