JENNIFER DAWN SHELER (APN) – Family Nurse Practitioner, NPI 1063166379
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JENNIFER DAWN SHELER (APN)
702 W Chestnut St
Bloomington, IL 617012814
Phone: (309) 557-1400
Type: Location
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203981
Phone: (309) 663-4368
Type: Mailing
2502 E EMPIRE ST
BLOOMINGTON, IL 617043738
Phone: (309) 663-4368
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $689.
Total Amount is formed as General ($689) + Research ($0) + Ownership ($0) = $689.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: EMD Serono, Inc. ($139).
Total Amount
$689
General + Research + Ownership
Payments
32
Total payment records
General Amount
$689
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220713003745 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 132 | $0 |
| 92504 | Exam of ear using a microscope | 91 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 90 | 90 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 66 | 57 | $0 |
| 69210 | Removal of impacted ear wax | 64 | 51 | $0 |
Insurance plans in this area (ZIP 61701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| Family Practice | AL | |
| Family Practice | IA | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Internal Medicine, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL |
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