Kalinda Jo Shaw, in Marion, IL - Medicare Nurse Practitioner

Kalinda Jo Shaw, is a medicare enrolled "Nurse Practitioner" in Marion, Illinois. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Select Physical Therapy Holdings Inc, Deaconess Illinois Clinic Inc and her current practice location is 3411 Professional Park Dr, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 969-8630.

Kalinda Jo Shaw is licensed to practice in Illinois (license number 209023069) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851961635.

Contact Information

	Kalinda Jo Shaw,
	3411 Professional Park Dr, Marion, IL 62959-6394
	(618) 969-8630
	Not Available

Map and Direction

Provider's Profile

Full Name	Kalinda Jo Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3411 Professional Park Dr, Marion, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kalinda Jo Shaw graduated from nursing school in 2020

NPI Data:

NPI Number: 1851961635
Provider Enumeration Date: 06/25/2021
Last Update Date: 03/23/2026

Medicare PECOS Information:

PECOS PAC ID: 9133502974
Enrollment ID: I20220811002408

Medical Identifiers

Medical identifiers for Kalinda Jo Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851961635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041444043 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209023069 (Illinois)	Primary
363LF0000X	Nurse Practitioner - Family	209023069 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lhc-illinois Home Health Care	Marion, IL	Home health agency
Lbn Residential Home Health Of Southern Illinois	Marion, IL	Home health agency
Hospice Of Southern Ill, Inc	Belleville, IL	Hospice
Heartland Regional Medical Center	Marion, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital
Crossroads Community Hospital	Mount vernon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Physical Therapy Holdings Inc	9537076401	2148
Deaconess Illinois Clinic Inc	5092187021	19

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kalinda Jo Shaw allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Illinois Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667

Entity Name	Deaconess Illinois Specialty Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kalinda Jo Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kalinda Jo Shaw, 3411 Professional Park Dr, Marion, IL 62959-6394 Ph: (618) 969-8630	Kalinda Jo Shaw, 3411 Professional Park Dr, Marion, IL 62959-6394 Ph: (618) 969-8630

Reviews and Comments

Nurse Practitioner Nurses in Marion, IL

Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834
Jessie Nicole Fox, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817
Leslie Wright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8333 Express Dr. Suite D, Marion, IL 62959 Phone: 618-969-8683 Fax: 618-969-8689
Ms. Peggy Boyd, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2808 East Outer Drive, Marion, IL 62959 Phone: 618-993-3817 Fax: 618-993-3908
Donna R Walters, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285
Antoinette Marie Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3331 W Deyoung St Ste 301, Marion, IL 62959 Phone: 618-998-7239 Fax: 618-998-4365
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900

Kalinda Jo Shaw, - Medicare Nurse Practitioner in Marion, IL