Tracy Shadley, FNP - Medicare Nurse Practitioner in Crystal Lake, IL

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Tracy Shadley, FNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Crystal Lake, Illinois. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rockford Psychiatric Medical Services Sc and her current practice location is 7220 Great Hill Rd, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 999-8777.

Tracy Shadley is licensed to practice in Illinois (license number 277.001865) 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 1699263731.

Contact Information

Tracy Shadley, FNP
7220 Great Hill Rd,
Crystal Lake, IL 60012-1637
(847) 999-8777
(815) 893-4534

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Provider's Profile

Full NameTracy Shadley
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location7220 Great Hill Rd, Crystal Lake, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tracy Shadley graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1699263731
  • Provider Enumeration Date: 04/24/2018
  • Last Update Date: 12/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991051658
  • Enrollment ID: I20180711000089

Medical Identifiers

Medical identifiers for Tracy Shadley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699263731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277.001865 (Illinois)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 277.001865 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rockford Psychiatric Medical Services Sc6901089515109

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. Tracy Shadley allows following entities to bill medicare on her behalf.
Entity NameGlenwood Center, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003033861
PECOS PAC ID: 2567552441
Enrollment ID: O20071214000734
Entity NameIn Home Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497087175
PECOS PAC ID: 3779612395
Enrollment ID: O20100520000116
Entity NameRockford Psychiatric Medical Services Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821391442
PECOS PAC ID: 6901089515
Enrollment ID: O20110318000777
Entity NameChestnut Health Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588043939
PECOS PAC ID: 2264747344
Enrollment ID: O20150819006369

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. Tracy Shadley 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 AddressPractice Location Address
Tracy Shadley, FNP
4215 Newburg Rd,
Rockford, IL 61108-6479

Ph: (815) 988-8500		Tracy Shadley, FNP
7220 Great Hill Rd,
Crystal Lake, IL 60012-1637

Ph: (847) 999-8777

Reviews and Comments


Clinical Nurse Specialist Nurses in Crystal Lake, IL

Nicole Manuel, APN
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 284 Memorial Ct Ste B, Crystal Lake, IL 60014
Phone: 815-477-8900    Fax: 815-477-7160

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.