Active NPI
Shan Chen, APRN
- Family Nurse Practitioner
- Joliet, IL
National Provider Identifier
1306185103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.000497
- Practice address
- 333 Madison St Ste 150
Joliet, IL 60435-8200 - Phone
- (877) 692-8686
- Fax
- (815) 729-4201
- NPI assigned
- Feb 14, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277.000497 | IL | Primary |
Addresses
Primary practice location
333 Madison St Ste 150
Joliet, IL 60435-8200
Mailing address
405 Ashbury Dr
Hinsdale, IL 60521-4992
Phone (630) 706-1569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.000497 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The St Francis Health Center | Past | Accepting new patients |
Interoperability endpoints
- shan.chen.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Joliet, IL
- NPI 1013205426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1306185103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ASHBURY DR",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214992",
"telephone_number": "630-706-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MADISON ST STE 150",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358200",
"telephone_number": "877-692-8686",
"fax_number": "815-729-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SHAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.000497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.