Mrs Shardai Nichole Shelton, FNP is a medicare enrolled "Nurse Practitioner - Family" in Thomasboro, Illinois. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Applebaum Physiatry Pllc and her current practice location is
301 N Lincoln St, Thomasboro, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 322-8563.
Mrs Shardai Nichole Shelton is licensed to practice in Illinois (license number 277.003116) 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 1720549124.
Provider's Profile
| Full Name | Mrs Shardai Nichole Shelton |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 301 N Lincoln St, Thomasboro, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shardai Nichole Shelton graduated from nursing school in 2016
NPI Data:
- NPI Number: 1720549124
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 12/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426386467
- Enrollment ID: I20230831002589
Medical Identifiers
Medical identifiers for Mrs Shardai Nichole Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720549124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN-2667 (Hawaii) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277.003116 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Applebaum Physiatry Pllc | 8729453436 | 133 |
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. Mrs Shardai Nichole Shelton allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451 |
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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. Mrs Shardai Nichole Shelton 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 |
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Mrs Shardai Nichole Shelton, FNP
301 N Lincoln St,
Thomasboro, IL 61878-9683
Ph: (217) 322-8563 | Mrs Shardai Nichole Shelton, FNP
301 N Lincoln St,
Thomasboro, IL 61878-9683
Ph: (217) 322-8563 |
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