Individual provider Active NPI

Shanele McGowan Vaughn, MD

  • Interventional Pain Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1902194822
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036136261 Issued in IL
Practice address
5571 W 95TH St
Oak Lawn, IL 60453-2356
Phone
(708) 972-9695
Fax
(708) 401-0194
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 04-49689 KS
Neurology Physician 2084N0400X 036136261 IL
Neurology Physician 2084N0400X 2025-00347 NC
Neurology Physician 2084N0400X C1-0027603 DE
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X C1-0027603 DE
Interventional Pain Medicine Physician 208VP0014X 036136261 IL Primary

Addresses

Primary practice location

5571 W 95TH St
Oak Lawn, IL 60453-2356

Mailing address

PO Box 16008
Chicago, IL 60616-0001
Phone (708) 972-9695

Other practice location 1

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Other practice location 2

4755 Ogletown Stanton Road
Suite 2E99
Newark, DE 19718-2200
Phone (302) 733-7706

Other practice location 3

2214 Canterbury Dr Ste 202
Hays, KS 67601-2375
Phone (785) 623-2312

Other practice location 4

280 Interstate North Cir SE Ste 600
Atlanta, GA 30339-2454
Phone (470) 561-4802

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smcgowan276089@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NM, KS, GA, IA, NC, DE, MD, DC, FL, VA, PA, WI13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20161019002618 IL Practitioner - NeurologyPractitioner - Pain Management 4688961675 Reassigns benefits to 6 organizations
I20240807003465 NM Practitioner - NeurologyPractitioner - Interventional Pain Management 4688961675 Reassigns benefits to 4 organizations
I20241001003603 KS Practitioner - Neurology 4688961675 Reassigns benefits to 2 organizations
I20241209002161 GA Practitioner - Neurology 4688961675 Reassigns benefits to 2 organizations
I20250107000743 IA Practitioner - Neurology 4688961675 Reassigns benefits to 2 organizations
I20250326002259 NC Practitioner - Neurology 4688961675 Reassigns benefits to 2 organizations
I20250414002783 DE Practitioner - NeurologyPractitioner - Pain Management 4688961675 Reassigns benefits to 1 organization
I20250416002203 MD Practitioner - Neurology 4688961675 Reassigns benefits to 1 organization
I20250515001255 DC Practitioner - Neurology 4688961675 Reassigns benefits to 1 organization
I20250623001885 FL Practitioner - Neurology 4688961675
I20250814003767 VA Practitioner - Neurology 4688961675
I20260227000161 PA Practitioner - Neurology 4688961675 Reassigns benefits to 2 organizations
I20260327000852 WI Practitioner - Neurology 4688961675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Greeley Medical CenterGroup PAC ID 6507769247, 30 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

Chicago, IL 60616
Phone (312) 560-8061

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 239-2102

1227 E Rusholme St
Mercyone Genesis
Davenport, IA 52803-2459
Phone (563) 421-1000

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

221 NE Glen Oak Ave
Peoria, IL 61636-0001

3331 S Giles Ave
Chicago, IL 60616-3909
Phone (309) 672-5522

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6000

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000

600 S 13TH St
Pekin, IL 61554-4936

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0027603DEMDNeurology Physician
04-49689KSMDNeurology Physician
2025-00347NCMDNeurology Physician
036136261ILMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 1, 2026 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Oct 22, 2024 Accepting new patients
Mary Greeley Medical Center CurrentSince Dec 12, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Oct 22, 2024 Accepting new patients
Hays Medical Center, Inc. Neurology CurrentSince Dec 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 7, 2025 Accepting new patients
Methodist Medical Center of Illinois Interventional Pain Medicine CurrentSince May 17, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Hays Medical Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Genesis Health System Interventional Pain Medicine CurrentSince Oct 12, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Oct 22, 2024 Accepting new patients
Penn State Health Medical Group, LLC Neurology CurrentSince Mar 1, 2026 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 25, 2025 Accepting new patients
Christiana Care Health Services, Inc Interventional Pain Medicine CurrentSince Feb 9, 2025 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Feb 9, 2025 Accepting new patients
Genesis Health System CurrentSince Dec 22, 2025 Accepting new patients
Hutchinson Regional Medical Center, Inc. Neurology CurrentSince Aug 1, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Carteret County General Hospital Corporation Interventional Pain Medicine CurrentSince Feb 24, 2025 Accepting new patients
Mary Greeley Medical Center Interventional Pain Medicine CurrentSince Dec 12, 2024 Accepting new patients
Presbyterian Healthcare Services Neurology CurrentSince Aug 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
St. Joseph Medical Group CurrentSince Mar 1, 2026 Accepting new patients
Mary Greeley Medical Center Current Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hutchinson Regional Medical Center, Inc. Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 25, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Mar 1, 2026 Accepting new patients
Presbyterian Healthcare Services Interventional Pain Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations (25 of 40)

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4755 Ogletown Stanton Rd
Ste 2E99
Newark, DE 19718
Phone (302) 623-3017

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

330 SW Adams St
Peoria, IL 61602
Phone (309) 402-2978

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

2214 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 261-7672

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

Interoperability endpoints

  • Direct secure messaging: smcgowan276089@direct.myadvocateaurora.org
  • Direct secure messaging: svaughn255119@direct.phs.org

Organizations & group practices 40

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 40

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1902194822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606160001",
            "telephone_number": "708-972-9695",
            "fax_number": "708-576-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532356",
            "telephone_number": "708-972-9695",
            "fax_number": "708-401-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "fax_number": "910-904-8445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 2E99",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-7706",
            "fax_number": "302-733-6081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2214 Canterbury Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012375",
            "country_code": "US",
            "telephone_number": "785-623-2312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Interstate North Cir SE Ste 600",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392454",
            "country_code": "US",
            "telephone_number": "470-561-4802",
            "fax_number": "678-441-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "SHANELE",
        "middle_name": "MCGOWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-49689",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036136261",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-00347",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0027603",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "DE",
            "license": "C1-0027603",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036136261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcgowan276089@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5571 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5571 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.