Shawnee Health Care, Marion – Federally Qualified Health Center (FQHC), NPI 1649405150

Shawnee Health Care, Marion is a healthcare provider. based in Marion, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Shawnee Health Care, Marion is 1649405150

Main info

Organization
Name
Shawnee Health Care, Marion
NPI
1649405150
Phone
(618) 997-5270
Address
3111 WILLIAMSON COUNTY PARKWAY
Authorized Official
CHRISTINA CARNEY CEO
Enumeration Date
28 May 2009
Last Update Date
5 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Shawnee Health Care, Marion

  • 3111, Williamson County Parkway, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629595209

    Phone: (618) 997-5270

    Fax: (618) 985-9155

    Type: Location

  • 109 CALIFORNIA P O BOX 577

    CARTERVILLE, IL 629180577

    Phone: (618) 985-8221

    Fax: (618) 985-6860

    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: 2009-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (143 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20090916000489OFederally Qualified Health Center (Fqhc)IL2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 62959)

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Reviews

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Frequently asked questions

Does Shawnee Health Care, Marion have a public NPI I can cite?
Public records show Shawnee Health Care, Marion under NPI 1649405150.
Is Shawnee Health Care, Marion's NPI status active today?
Active status means Shawnee Health Care, Marion's NPI record is not deactivated in the public file.
What type of care does Shawnee Health Care, Marion provide?
Shawnee Health Care, Marion's profile centers on Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is Shawnee Health Care, Marion tied to Marion, Illinois?
If you are local to Marion, Illinois, Shawnee Health Care, Marion may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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