Active NPI
Shana L Carter, MS APRN
- Family Nurse Practitioner
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209030215
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120113 | MT | |
| Family Nurse Practitioner | 363LF0000X | 209030215 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 110580 | NE |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (460) 752-7441
Other practice location 1
40 Skokie Blvd Ste 110
Northbrook, IL 60062-1614
Phone (224) 407-4400
Other practice location 2
2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone (541) 706-4220
Other practice location 3
950 Technology Way Ste 250
Libertyville, IL 60048-5366
Phone (224) 407-4400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scarter221150@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, WA, IL, MN, CT, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Creighton University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1017 S 2ND Ave
Suite 4
Walla Walla, WA 99362-4183
Phone (509) 897-8400
1185 Town Centre Dr
Suite 205
Eagan, MN 55123-1370
Phone (612) 871-1145
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372
2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321
Hospital & facility affiliations
- Providence St Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120113 | MT | MD | Family Nurse Practitioner |
| 110580 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| Comprehensive Gastrointestinal Health, LLC | Past | Accepting new patients | |
| Galileo Medical Group, NM PC | Past | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
675 W North Ave
Ste 201
Melrose Park, IL 60160
Phone (708) 450-4994
1185 Town Centre Dr
Ste 205
Eagan, MN 55123
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323
2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
1017 S 2nd Ave
Ste 4
Walla Walla, WA 99362
Phone (509) 529-4850
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- shana.carternp.p1@direct.mngastro.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- scarter63673@skagit.direct-ci.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- Neurological Surgery Physician
- Walla Walla, WA
- NPI 1760636690
-
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Bend, OR
- NPI 1700697935
-
- Gastroenterology Physician
- Northbrook, IL
- NPI 1427541721
-
- Family Medicine Physician
- New York, NY
- NPI 1548911746
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1124190590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013129",
"telephone_number": "460-752-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [
{
"address_1": "40 Skokie Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600621614",
"country_code": "US",
"telephone_number": "224-407-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 NE Neff Rd Ste 302",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977014279",
"country_code": "US",
"telephone_number": "541-706-4220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 Technology Way Ste 250",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600485366",
"country_code": "US",
"telephone_number": "224-407-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "SHANA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "120113",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209030215",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110580",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scarter221150@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2200 NE Neff Rd Ste 302",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977014279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.