Suzan Shane-Gray, APN, EDD
NPI 1144525452 · Pediatric Clinical Nurse Specialist · Peoria, IL
Suzan Shane-Gray, APN, EDD is a Pediatric Clinical Nurse Specialist provider in Peoria, IL (NPI 1144525452).
Provider details
- NPI number
- 1144525452
- Entity type
- Individual
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN, EDD
- Sex
- Female
- Sole proprietor
- No
- License
- 209.008562 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-18
- Last updated
- 2011-01-18
Frequently asked questions
- What is Suzan Shane-Gray's NPI number?
- Suzan Shane-Gray's National Provider Identifier (NPI) is 1144525452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suzan Shane-Gray's specialty?
- Suzan Shane-Gray is listed in the NPPES registry with a primary specialty of Pediatric Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Suzan Shane-Gray located?
- Suzan Shane-Gray's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Suzan Shane-Gray's phone number?
- The practice phone number listed in the NPPES registry for Suzan Shane-Gray is (309) 224-8683.
- Is Suzan Shane-Gray's NPI active?
- Yes — Suzan Shane-Gray's NPI (1144525452) is active in the NPPES registry as of the last update on 2011-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.