MRS. HOLLY HARLOW SHIRLEY (N.P.) – Nurse Practitioner, NPI 1851645469

MRS. HOLLY HARLOW SHIRLEY (N.P.) is a healthcare provider. based in Maryville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 041457619 (IL). The NPI Number for MRS. HOLLY HARLOW SHIRLEY (N.P.) is 1851645469

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY HARLOW SHIRLEY (N.P.)
NPI
1851645469
Phone
(618) 344-3046
Address
2401 S CENTER ST
Enumeration Date
5 November 2012
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183443046
Graduation Year
2011 (15 years ago)
PAC ID
1456590017
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20171228000678
Address ID
IL620625401MA2401XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
hshirley165047@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. HOLLY HARLOW SHIRLEY (N.P.)

  • 2401 S CENTER ST

    MARYVILLE, IL 620625401

    Phone: (618) 344-3046

    Fax: (618) 344-5284

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $716.

Total Amount is formed as General ($716) + Research ($0) + Ownership ($0) = $716.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($200).

Total Amount

$716

General + Research + Ownership

Payments

40

Total payment records

General Amount

$716

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-12-28

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
I20171228000678INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes13976$0
99213Established patient office or other outpatient visit, 20-29 minutes6851$0
36415Insertion of needle into vein for collection of blood sample5841$0
83036Hemoglobin a1c level2919$0
99215Established patient office or other outpatient visit, 40-54 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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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

Is MRS. HOLLY HARLOW SHIRLEY (N.P.) listed with a National Provider Identifier?
Yes — MRS. HOLLY HARLOW SHIRLEY (N.P.) has NPI 1851645469 on file in the registry.
Would MRS. HOLLY HARLOW SHIRLEY (N.P.) appear as active to a payer?
You can treat MRS. HOLLY HARLOW SHIRLEY (N.P.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. HOLLY HARLOW SHIRLEY (N.P.)?
MRS. HOLLY HARLOW SHIRLEY (N.P.)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. HOLLY HARLOW SHIRLEY (N.P.) associated with Maryville?
Public fields place MRS. HOLLY HARLOW SHIRLEY (N.P.) around Maryville, Illinois. Always confirm the exact site before visiting.
Does MRS. HOLLY HARLOW SHIRLEY (N.P.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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