Individual provider Active NPI

Shana L Carter, MS APRN

  • Family Nurse Practitioner
  • Maywood, IL
National Provider Identifier
1124190590
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030215 Issued in IL
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

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address scarter221150@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA, IL, MN, CT, OR6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040415001304 MT Practitioner - Nurse Practitioner 3476548892
I20221205001997 WA Practitioner - Nurse Practitioner 3476548892 Reassigns benefits to 2 organizations
I20241001000886 IL Practitioner - Nurse Practitioner 3476548892 Reassigns benefits to 1 organization
I20241023003533 MN Practitioner - Nurse Practitioner 3476548892 Reassigns benefits to 1 organization
I20250507000137 CT Practitioner - Nurse Practitioner 3476548892
I20250813000754 OR Practitioner - Nurse Practitioner 3476548892 Reassigns benefits to 1 organization

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
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians
Mngi Digestive Health PAGroup PAC ID 8123016557, 276 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

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 Hospital, Walla Walla, WA, CCN 500002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
120113MTMDFamily Nurse Practitioner
110580NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 22, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Loyola University Medical Center CurrentSince Aug 30, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince May 19, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince May 19, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 22, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Mngi Digestive Health, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Loyola University Medical Center CurrentSince Aug 30, 2024 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

  • Direct secure messaging: shana.carternp.p1@direct.mngastro.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.