| Shelby Helmick, | |
|
4440 N Prospect Rd Ste A, Peoria Heights, IL 61616-6570 | |
| (309) 248-6399 | |
| (309) 248-1001 |
| Full Name | Shelby Helmick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4440 N Prospect Rd Ste A, Peoria Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548004658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209029917 (Illinois) | Primary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Entity Name | Therapeutic Spine And Pain Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124787940 PECOS PAC ID: 7810389418 Enrollment ID: O20220111001136 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Helmick, 5409 N Knoxville Ave, Peoria, IL 61614-5069 Ph: (309) 691-1069 | Shelby Helmick, 4440 N Prospect Rd Ste A, Peoria Heights, IL 61616-6570 Ph: (309) 248-6399 |
Hannah Nagle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1022 E Kingman Ave, Peoria Heights, IL 61616 Phone: 309-722-1425 Fax: 309-326-4705 | |
Amber Marian Breitzman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-4411 | |
Lisa Friebohle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-4411 Fax: 309-685-3648 | |
Kevin Spangler, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-4411 |