CHARLENE SHALLOW (N.P.) – Nurse Practitioner, NPI 1295819688
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for CHARLENE SHALLOW (N.P.)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 627011034
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Mailing
619 E Mason St Ste 4P57
Springfield, IL 627011034
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Location
3905 W Ernestine Dr
Marion, IL 629595800
Phone: (618) 529-4455
Fax: (618) 351-1287
Type: Location
409 W Oak St
Carbondale, IL 629011464
Phone: (618) 529-4455
Fax: (618) 351-1287
Type: Location
217 S Park Ave Ste 2
Herrin, IL 629483611
Phone: (618) 529-4455
Fax: (618) 351-1287
Type: Location
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 627026700
Phone: (217) 545-8000
Type: Location
201 E MADISON ST STE 328
SPRINGFIELD, IL 627025131
Phone: (217) 545-8000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-11-29
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 |
|---|---|---|---|---|
| I20051129000904 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 402 | 289 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 75 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 22 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 62701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| Pulmonary Disease | IL | |
| D E R M A T O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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