SHANNON VANZUMMEREN APN NPI 1205202074

NPI Information

  • NPI: 1205202074
  • Provider Name: SHANNON VANZUMMEREN, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1204 HIGHWAY 164 E
    PO BOX 198
    OQUAWKA, IL
    ZIP 61469
  • Phone: (309) 867-2202

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NPI Details

Shannon Vanzummeren, APN is a family nurse practitioner in Oquawka, IL with 11 years of experience. Shannon Vanzummeren, APN NPI is 1205202074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1204 HIGHWAY 164 E
PO BOX 198
OQUAWKA, IL
ZIP 61469-146
Phone: (309) 867-2202

The NPI 1205202074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2015 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209.013114ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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