Individual provider Active NPI

Shana Roushia, FPA, APN, FNP-C

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1699313825
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.002439 Issued in IL
Practice address
4215 Newburg Rd
Rockford, IL 61108-6479
Phone
(815) 988-8500
Fax
(815) 977-5956
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.002439 IL Primary

Addresses

Primary practice location

4215 Newburg Rd
Rockford, IL 61108-6479

Mailing address

4215 Newburg Rd
Rockford, IL 61108-6479
Phone (815) 988-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NH, VA, WV, TX, NY, NC, MA, CT, FL, SC, CA, DC13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20200220002262 IL Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20230413001037 NH Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20231003001113 VA Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20231009000100 WV Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20231011003321 TX Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20231019001125 NY Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20231122000810 NC Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20231211001369 MA Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20240110001605 CT Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20240116001180 FL Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20240208001129 SC Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20240321001755 CA Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization
I20241024004487 DC Practitioner - Nurse Practitioner 9830526466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists of Massachusetts PLLCGroup PAC ID 0244640498, 49 clinicians
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

145 Ward Hill Ave
Bradford, MA 01835-6928
Phone (978) 372-8000

1801 Turnpike St
North Andover, MA 01845-6322
Phone (978) 688-1212

1995 E Cornelius Harnett Blvd
Lillington, NC 27546-8276
Phone (910) 893-5141

20 Manor Dr
Oswego, NY 13126-6495
Phone (800) 411-6768

21 Searles Rd
Windham, NH 03087-1203
Phone (603) 890-1290

215 Lash Dr
Salisbury, NC 28147-9151
Phone (704) 637-1182

239 Pleasant St
Concord, NH 03301-7504
Phone (603) 224-6561

515 Lake Concord Rd NE
Concord, NC 28025-2925
Phone (704) 784-4494

5939 Reddman Rd
Charlotte, NC 28212-1654
Phone (704) 703-6060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28291SCMDPulmonary Disease Physician
277.002439ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Post Acute Specialists PC CurrentSince Mar 6, 2024 Accepting new patients
Texas Post Acute Specialists, PA CurrentSince Sep 13, 2023 Accepting new patients
Post Acute Specialists of Massachusetts PLLC CurrentSince Nov 14, 2023 Accepting new patients
Post Acute Specialists, LLC CurrentSince Aug 2, 2022 Accepting new patients

Locations (25 of 40)

2140 Carlmont Dr
Belmont, CA 94002
Phone (650) 591-9601

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

1850 E 8th St
Davis, CA 95616
Phone (530) 756-1800

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

11510 Imperial Hwy
Norwalk, CA 90650
Phone (562) 868-6791

201 Hartnell Ave
Redding, CA 96002
Phone (530) 212-0073

2550 Treasure Dr
Santa Barbara, CA 93105
Phone (805) 319-4376

300 Fountaingrove Pkwy
Santa Rosa, CA 95403
Phone (707) 359-5005

325 Kempton St
Spring Valley, CA 91977
Phone (619) 434-0577

9289 Branstetter Pl
Stockton, CA 95209
Phone (209) 477-5252

59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400

10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000

800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710

6501 S Cass Ave
Westmont, IL 60559
Phone (630) 460-2026

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

1801 Turnpike St
North Andover, MA 01845
Phone (978) 454-8086

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

515 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 784-4494

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

62 Rochester Hill Rd
Rochester, NH 03867
Phone (603) 335-3955

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1699313825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 NEWBURG RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086479",
            "telephone_number": "815-988-8500",
            "fax_number": "815-977-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 NEWBURG RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086479",
            "telephone_number": "815-988-8500",
            "fax_number": "815-977-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSHIA",
        "first_name": "SHANA",
        "credential": "FPA, APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.