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Active NPI 1831120104 Individual Practitioner Female Practitioner

Jeraldene Shaffer , NP

Nurse Practitioner • Crestwood, IL

Professional Overview & Biography Verified Profile Summary

Jeraldene Shaffer, NP is a registered healthcare professional specializing in Nurse Practitioner in Crestwood, IL. Practice services are available at 14255 CICERO AVE under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with high level of medical decision making, per day, if using time, at least, chronic care management services, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14255 Cicero Ave

Crestwood, IL 604452154

Telephone 7083710400
Fax 7083715871
Associated Practice Facility / Clinic
🏢 Crestwood Care Centre Lp Facility NPI 1013993237

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Crestwood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Crestwood, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
57 40 $200.00 $165.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
55 21 $94.20 $55.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
27 27 $152.00 $113.76

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Emily Coleman

Occupational Therapist

NPI 1063842672
Clare Arquilla , MS

Speech-Language Pathologist

NPI 1306100847

Master of Science

Anne Horne , FNP-BC

Nurse Practitioner - Family

NPI 1558958868

Family Nurse Practitioner (Board Certified)

Amanda Feragen , MHS

Speech-Language Pathologist

NPI 1598194219
Keroles Hanna , PTA

Physical Therapy Assistant

NPI 1679040463

Physical Therapist Assistant

Thea Escuadra , PT

Physical Therapist

NPI 1679886774

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 14255 CICERO AVE, CRESTWOOD, IL 604452154 (Tel: 7083710400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2354 W NORFOLK RD, CRETE, IL 604179788 (Tel: 7087482260)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERALDENE SHAFFER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner

🟢
Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831120104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2354 W Norfolk Rd

Crete, IL 604179788

Phone: 7087482260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.