AMANDA C SHILS (P.A.) – Physician Assistant, NPI 1740399880

AMANDA C SHILS (P.A.) is a healthcare provider. based in Decatur, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 085001947 (IL). The NPI Number for AMANDA C SHILS (P.A.) is 1740399880

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA C SHILS (P.A.)
NPI
1740399880
Phone
(217) 464-1470
Address
1770 E LAKE SHORE DR
Enumeration Date
30 August 2006
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178645531
Graduation Year
2002 (24 years ago)
PAC ID
3678563400
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20040514000116
Address ID
IL625215139DE4965XRDXX500

Contacts

Secure Messaging
ashils129966@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for AMANDA C SHILS (P.A.)

  • 1770, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625213832

    Phone: (217) 464-1470

    Fax: (217) 464-5163

    Type: Location

  • 4965 E LOST BRIDGE RD

    DECATUR, IL 625215139

    Phone: (217) 864-5531

    Fax: (217) 864-2449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $519.

Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.

Last reported payment date: 2024-11-03 • Largest payer in this snapshot: Lilly USA, LLC ($117).

Total Amount

$519

General + Research + Ownership

Payments

28

Total payment records

General Amount

$519

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-03

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: 2004-05-14

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
I20040514000116IPhysician AssistantILTBD

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 minutes3835$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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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: 5092857821View full group profile

Reviews

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Frequently asked questions

What NPI should I save for AMANDA C SHILS (P.A.)?
Save NPI 1740399880 if you need a stable reference for AMANDA C SHILS (P.A.).
Is AMANDA C SHILS (P.A.)'s NPI currently valid?
The extract we use shows AMANDA C SHILS (P.A.) as active.
What does AMANDA C SHILS (P.A.) treat or focus on?
Patients typically see AMANDA C SHILS (P.A.) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AMANDA C SHILS (P.A.)'s primary listing?
We display Decatur, Illinois because that is what the record indicates for AMANDA C SHILS (P.A.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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