Diane Marie Shallcross, APRN, FPA, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277.003222 Issued in IL

Practice address

218 State St Ste B
Saint Charles, IL 60174-1841

Phone

(815) 893-9417

Fax

(224) 276-7254

NPI assigned

Dec 1, 2021

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reasons Health, PLLC

  • Social Worker
  • Crystal Lake, IL
  • NPI 1174387195
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Deep Buch, MD SC

  • Psychiatry Physician
  • Palos Heights, IL
  • NPI 1477212751
  NPD (past)
• Piyush C. Buch, M.D., P.C.

  • Psychiatry Physician
  • Palos Heights, IL
  • NPI 1851599823
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1629736285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 STATE ST STE B",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741841",
            "telephone_number": "847-341-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 STATE ST STE B",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741841",
            "telephone_number": "815-893-9417",
            "fax_number": "224-276-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLCROSS",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN, FPA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.003222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill K. Shackelford, CCC-SLP
• Hythem P Shadid, M.D.
• Mansi Rocky Shah
• Parul Shah
• Behnoosh Shahrokh, APRN, CNP
• Madison Sharkey, RBT
• Khushi Sharma
• Melissa Jane Sharp, PSY.D.
• Tamara Shasteen, NP
• Ayesha Shaukat, MD

• Psychiatric/Mental Health Nurse Practitioner in St Charles, IL
• Providers in St Charles, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.