VIVIAN SHIN (PA-C) – Physician Assistant, NPI 1134763840
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIVIAN SHIN (PA-C)
675 N North Ct Ste 180
Palatine, IL 600678130
Phone: (847) 726-0774
Fax: (847) 277-1549
Type: Location
675 N NORTH CT
STE 120
PALATINE, IL 600678130
Phone: (847) 401-8318
Type: Mailing
200 FOX GLEN
BARRINGTON, IL 600101809
Phone: (847) 726-0774
Fax: (847) 277-1549
Type: Location
22285 N PEPPER RD STE 302
LAKE BARRINGTON, IL 600102541
Phone: (847) 726-0774
Fax: (847) 277-1549
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 190 Open Payments records for all available years, with a total value of $3,346.
Total Amount is formed as General ($3,346) + Research ($0) + Ownership ($0) = $3,346.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Lilly USA, LLC ($484).
Total Amount
$3,346
General + Research + Ownership
Payments
190
Total payment records
General Amount
$3,346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $484 |
| ABBVIE INC. | $367 |
| Novo Nordisk Inc | $339 |
| Amgen Inc. | $260 |
| AstraZeneca Pharmaceuticals LP | $207 |
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: 2021-10-18
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 |
|---|---|---|---|---|
| I20211018002061 | I | Physician Assistant | 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 60067)
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