2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1689959900 PMHNP-BC
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KETAN SHAH, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in WHEATON, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 197 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927

What the federal data shows

KETAN SHAH, PMHNP-BC filed 3,613 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Nurse Practitioner in WHEATON, Illinois.

4K
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

KETAN SHAH, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,613 Top 9% higher than 91% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KETAN SHAH, PMHNP-BC?

Quality data not reported

NPI registry status

Active

Issued 10/18/2011

NPI 1689959900

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

3,613 290% vs specialty avg

2023 prescription claims

Specialty avg: 927

Specialty distribution in Illinois

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Psychiatric/Mental Health Nurse Practitioner share within Illinois

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatric/Mental Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KETAN SHAH, PMHNP-BC appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP-BC credentials at 111 N COUNTY FARM RD, WHEATON, IL, 60187, with a listed phone of (630) 682-7400. NPI 1689959900 was issued on 10/18/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,613 prescription claims written by this provider, covering 197 Medicare beneficiaries and totaling roughly $459K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

111 N COUNTY FARM RD
WHEATON, IL 60187

Provider Details

NPI 1689959900
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials PMHNP-BC
Gender Male
NPI Issued 10/18/2011

Hospital and facility affiliations

Facilities where KETAN SHAH, PMHNP-BC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

COUNTY OF DUPAGE DEPARTMENT OF HEALTH
WHEATON, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to KETAN SHAH, PMHNP-BC. To verify KETAN SHAH, PMHNP-BC's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,613
Total Claims
$459K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,252
Total Day Supply
120,348
Generic Drug Cost
$100K

Patient Demographics

Average Patient Age
52.9 years
Avg HCC Risk Score
1.13
Gender Split
40% female / 60% male
Age Distribution
<65: 157, 65-74: 34, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What KETAN SHAH, PMHNP-BC prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clozapine
476
Risperidone
271
Fluoxetine Hcl
254
Olanzapine
251
Quetiapine Fumarate
191
Trazodone Hcl
158
Aripiprazole
149
Bupropion Xl
Bupropion Hcl
129
Divalproex Sodium Er
Divalproex Sodium
129
Sertraline Hcl
126

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Psychiatric/Mental Health Nurse Practitioner Overview

How KETAN SHAH, PMHNP-BC fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

KETAN SHAH, PMHNP-BC's 3,613 claims are above the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as SHAH.

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KETAN SHAH, PMHNP-BC's specialty?
KETAN SHAH, PMHNP-BC specializes in Psychiatric/Mental Health Nurse Practitioner and practices in WHEATON, Illinois. Credentials: PMHNP-BC.
How much does KETAN SHAH, PMHNP-BC prescribe under Medicare Part D?
In 2023, KETAN SHAH, PMHNP-BC wrote 3,613 Medicare Part D claims totaling $459K in drug costs for 197 beneficiaries.
Where is KETAN SHAH, PMHNP-BC located?
KETAN SHAH, PMHNP-BC is located at 111 N COUNTY FARM RD, WHEATON, IL, 60187. Phone: (630) 682-7400.
What is KETAN SHAH, PMHNP-BC's NPI number?
KETAN SHAH, PMHNP-BC's National Provider Identifier (NPI) is 1689959900, issued on 10/18/2011.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does KETAN SHAH, PMHNP-BC prescribe most often?
Based on 2023 Medicare Part D data, KETAN SHAH, PMHNP-BC's most frequently prescribed drugs include Clozapine, Risperidone, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KETAN SHAH, PMHNP-BC accept Medicare?
KETAN SHAH, PMHNP-BC appears in CMS Medicare data with 3,613 Part D claims and 197 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KETAN SHAH, PMHNP-BC's credentials?
KETAN SHAH, PMHNP-BC's NPI is 1689959900 with credentials PMHNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology