MRS. MELINDA SUE SHIMMIN (CNP) – Family Nurse Practitioner, NPI 1891021416

MRS. MELINDA SUE SHIMMIN (CNP) is a healthcare provider. based in Kewanee, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 209007870 (IL). The NPI Number for MRS. MELINDA SUE SHIMMIN (CNP) is 1891021416

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELINDA SUE SHIMMIN (CNP)
NPI
1891021416
Phone
(309) 852-7700
Address
1051 W SOUTH ST
Enumeration Date
2 November 2009
Last Update Date
9 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
4789729369
Group Practice PAC ID
4789578063
Professional Enrollment ID
I20100308000170
Address ID
IL614438354KE1051XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. MELINDA SUE SHIMMIN (CNP)

  • OSF Saint Luke Medical Center, 1051, West South Street, Kewanee, Henry County, Illinois, 61443, United States

    KH FAMILY HEALTH CLINIC

    KEWANEE, IL 614438354

    Phone: (309) 852-7700

    Fax: (309) 852-7764

    Type: Location

  • PO BOX 747

    KH FAMILY HEALTH CLINIC

    KEWANEE, IL 614430747

    Phone: (309) 852-7700

    Fax: (309) 852-7764

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

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: 2010-03-08

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
I20100308000170INurse 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.

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

Insurance plans in this area (ZIP 61443)

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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: 4789578063View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
P O D I A T R YIL
Orthopedic SurgeryIL
Physician AssistantIL
Internal Medicine, Emergency Medicine, Pediatric MedicineIL
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Pulmonary DiseaseIL
Family PracticeMO

Reviews

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Frequently asked questions

What federal number belongs to MRS. MELINDA SUE SHIMMIN (CNP)?
The federal identifier for MRS. MELINDA SUE SHIMMIN (CNP) is NPI 1891021416.
Is MRS. MELINDA SUE SHIMMIN (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. MELINDA SUE SHIMMIN (CNP)'s specialty in plain language?
Clinically, the directory lists MRS. MELINDA SUE SHIMMIN (CNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. MELINDA SUE SHIMMIN (CNP)'s primary listing?
We display Kewanee, Illinois because that is what the record indicates for MRS. MELINDA SUE SHIMMIN (CNP).
What if Kewanee, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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