MRS. SHANELL RENA GLADSON APRN
NPI 1043845084
Psychiatry & Neurology - Psychiatry in Bartonville, IL

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
4615 CORREL AVE, BARTONVILLE, IL 61607(309) 453-0688(309) 324-5977 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2025, Feb 10, 2025, Feb 6, 2025 and 1 more (4 updates tracked since 2020).

About Mrs. Shanell Rena Gladson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANELL RENA GLADSON APRN (NPI 1043845084) is an individual psychiatry provider in Bartonville, Illinois, licensed in Illinois (209031579) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043845084
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMRS. SHANELL RENA GLADSONCredential: APRN
Location Address4615 CORREL AVEBartonville, IL 61607-2618
Mailing Address4615 Correl AveBartonville, IL 61607-2618 · (309) 453-0688 · Fax (309) 324-5977
Fax(309) 324-5977
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2020
Last NPPES UpdateNovember 16, 20254 updates tracked since enumeration
NPPES CertifiedNovember 16, 2025
NPI 1043845084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in IL · 209031579
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN233341 (AZ), 04105255 (IL)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 23341 (AZ)
4615 CORREL AVE, Bartonville, IL 61607

Other Names 1

Professional Name (2)Mrs. Shanell Rena Reynolds-gladson Aprn

Secondary Practice Location 1

Location 12760 W Peoria Ave # 1115Phoenix, AZ 85029-5202 · Phone (309) 229-0799 · Fax (309) 324-5977

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shanell Rena Gladson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618492810
PECOS Enrollment IDI20250421001925
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4615 CORREL AVE
BARTONVILLE, IL 61607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043845084, enumerated as an "individual" on March 10, 2020.

The provider is located at 4615 CORREL AVE BARTONVILLE, IL 61607 and the phone number is (309) 453-0688.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.