SHELLY LERCH – Mental Health Counselor, NPI 1184096331

SHELLY LERCH is a healthcare provider. based in Pekin, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 2024030511 (MI). The NPI Number for SHELLY LERCH is 1184096331

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY LERCH
NPI
1184096331
Phone
(309) 347-5522
Address
3248 VANDEVER AVE
Enumeration Date
28 October 2015
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699488041
Graduation Year
2017 (9 years ago)
PAC ID
6103360979
Group Practice PAC ID
3678599404
Professional Enrollment ID
I20240703002301
Address ID
MI490589018HA500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SHELLY LERCH

  • 3248 VANDEVER AVE

    PEKIN, IL 615546257

    Phone: (309) 347-5522

    Type: Location

  • 500 BARFIELD DR

    HASTINGS, MI 490589018

    Phone: (269) 948-8041

    Fax: (269) 948-9319

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($40).

Total Amount

$82

General + Research + Ownership

Payments

4

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240703002301INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61554)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678599404View full group profile
NameSpecialtyState
Psychiatry, Internal Medicine, NeuropsychiatryGA
Clinical Social WorkerMI
P S Y C H I A T R YNC
Mental Health CounselorMI
-MI
-MI
Nurse PractitionerTN
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What federal number belongs to SHELLY LERCH?
The federal identifier for SHELLY LERCH is NPI 1184096331.
Is SHELLY LERCH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SHELLY LERCH work in?
You can think of SHELLY LERCH as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does SHELLY LERCH practice in Illinois?
You will see Pekin, Illinois on file for SHELLY LERCH alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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