MRS. ANDREA M SHEWALTER APRN
NPI 1083180228
Nurse Practitioner - Family in Rockford, IL

Q: What is Andrea Shewalter's NPI number?

The NPI number for Andrea Shewalter is 1083180228. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Q: What is Andrea Shewalter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Shewalter was last updated on October 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment

535 ROXBURY RD, ROCKFORD, IL 61107(815) 387-1717 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Andrea M Shewalter Aprn NPPES

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

MRS. ANDREA M SHEWALTER APRN (NPI 1083180228) is an individual family provider in Rockford, Illinois, licensed in Illinois (041351530) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083180228

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ANDREA M SHEWALTERCredential: APRN

Location Address535 ROXBURY RDRockford, IL 61107-5076

Mailing Address11189 Jasmine DrRoscoe, IL 61073-9410 · (815) 501-3115

Phone(815) 387-1717

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 15, 2018

✔ NPI 1083180228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 041351530

535 ROXBURY RD, Rockford, IL 61107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

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. Andrea M Shewalter 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 ID7113262338

PECOS Enrollment IDI20181217001667

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140160

Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County

Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

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 14

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

PERRYVILLE SURGICAL ASSOCIATES SC

Surgery