Doctor profile · Federal record
Dr. Shannon Holthaus, APN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Champaign, IL
- NPI 1558779058
- Accepts Medicare
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1802 S Mattis Ave
Champaign, IL 618215923
(217) 383-3260
fax (217) 383-4459 - Mailing address
-
611 W. Park St., Bwpc
Urbana, IL 618012500
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- May 26, 2015
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Illinois #209.011667
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558779058. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $14.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$108
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Paroxetine Hcl | Generic | 11 | 0 | $108 |
Frequently asked questions
What is Dr. Shannon Holthaus's medical specialty?
Dr. Shannon Holthaus practices Family Nurse Practitioner in Champaign, IL.
Where does Dr. Shannon Holthaus practice?
Dr. Shannon Holthaus practices at 1802 S Mattis Ave, Champaign, IL 618215923. Office phone: 2173833260.
What is Dr. Shannon Holthaus's NPI?
Dr. Shannon Holthaus's National Provider Identifier (NPI) is 1558779058, issued by NPPES.
Does Dr. Shannon Holthaus accept Medicare assignment?
Yes. Dr. Shannon Holthaus accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.