DR. SHELBY GUTHRIE (FNP) – Family Nurse Practitioner, NPI 1679278352

DR. SHELBY GUTHRIE (FNP) is a healthcare provider. based in Sandoval, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209.027038 (IL). The NPI Number for DR. SHELBY GUTHRIE (FNP) is 1679278352

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHELBY GUTHRIE (FNP)
NPI
1679278352
Phone
(618) 978-6549
Address
605 N Mine St
Enumeration Date
3 April 2023
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6185523034
Graduation Year
2022 (4 years ago)
PAC ID
5698869956
Group Practice PAC ID
7618318130
Professional Enrollment ID
I20230510001915
Address ID
IL628702109OD1631XRDXX300

Contacts

Secure Messaging
sguthrie438421@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DR. SHELBY GUTHRIE (FNP)

  • 605 N Mine St

    Sandoval, IL 628821103

    Phone: (618) 978-6549

    Fax: (855) 579-7776

    Type: Location

  • 602 S 42nd St

    Mount Vernon, IL 628646264

    Phone: (618) 899-3278

    Type: Location

  • 251 8TH ST

    CARLYLE, IL 622312103

    Phone: (618) 978-6549

    Type: Mailing

  • 1007 S 42ND ST

    MOUNT VERNON, IL 628646217

    Phone: (618) 242-4626

    Type: Location

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: 2023-05-10

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
I20230510001915INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9390$0
View full utilization report →

Insurance plans in this area (ZIP 62882)

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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: 7618318130View full group profile
NameSpecialtyState
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SHELBY GUTHRIE (FNP)?
NPI 1679278352 is assigned to DR. SHELBY GUTHRIE (FNP) under the national enumeration system.
Does this profile mean DR. SHELBY GUTHRIE (FNP) is currently active?
Yes — DR. SHELBY GUTHRIE (FNP) appears active in the national provider directory.
What does DR. SHELBY GUTHRIE (FNP) treat or focus on?
Patients typically see DR. SHELBY GUTHRIE (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DR. SHELBY GUTHRIE (FNP)'s primary listing?
We display Sandoval, Illinois because that is what the record indicates for DR. SHELBY GUTHRIE (FNP).
What if Sandoval, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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