Individual provider Active NPI

Shamerra Colvard, APRN

  • Family Nurse Practitioner
  • Willowbrook, IL
National Provider Identifier
1811612179
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.003658 Issued in IL
Practice address
40 75TH St
Willowbrook, IL 60527-2325
Phone
(630) 581-5372
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 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 277.003658 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.003658 IL
Medical-Surgical Registered Nurse 163WM0705X 041461962 IL

Addresses

Primary practice location

40 75TH St
Willowbrook, IL 60527-2325

Mailing address

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221206001218 IL Practitioner - Nurse Practitioner 1052780509 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Telepsychiatry - IllinoisGroup PAC ID 4587035225, 6 clinicians
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Altea Medical Illinois PLLCGroup PAC ID 5799129730, 30 clinicians

Practice addresses (Care Compare)

1051 Essington Rd
Suite 280
Joliet, IL 60435-2808
Phone (855) 284-7483

2330 W Galena Blvd
Aurora, IL 60506-4246
Phone (630) 896-4686

3354 Jerome LN
Cahokia, IL 62206-2604
Phone (877) 883-9430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041461962ILMDMedical-Surgical Registered Nurse
277.003658ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Dec 29, 2022 Accepting new patients
Thriveworks Telepsychiatry - Illinois CurrentSince Jan 22, 2026 Accepting new patients
E Mediate Cure LLC CurrentSince May 12, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 25, 2024 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Apr 25, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 29, 2022 Accepting new patients
A Plus Healthcare Management LLC Current Accepting new patients
True Wellness Center Family Current Accepting new patients
E Mediate Cure LLC CurrentSince Aug 5, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2330 W Galena Blvd
Aurora, IL 60506
Phone (630) 896-4682

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

5701 W 79th St
Burbank, IL 60459
Phone (708) 449-5400

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

1051 Essington Rd
Ste 280
Joliet, IL 60435
Phone (217) 850-1133

1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952

900 W River Pl
Kankakee, IL 60901
Phone (815) 933-1711

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

3450 Oakton St
Ste 300
Skokie, IL 60076

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

7425 Janes Ave
Ste 205
Woodridge, IL 60517
Phone (217) 850-1133

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1811612179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVARD",
        "first_name": "SHAMERRA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.003658",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.003658",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IL",
            "license": "041461962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.