Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIRLISA LOVE
NPI 1104691815
Nurse Practitioner - Psychiatric/Mental Health in Belleville, IL

Q: What is Shirlisa Love's NPI number?

The NPI number for Shirlisa Love is 1104691815. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Q: What is Shirlisa Love's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shirlisa Love was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment

112 MEADOWCREST DRIVE, BELLEVILLE, IL 62221(618) 298-7601 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Nov 22, 2023 (2 updates tracked since 2023).

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About Shirlisa Love NPPES

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

SHIRLISA LOVE (NPI 1104691815) is an individual psychiatric/mental health provider in Belleville, Illinois, licensed in Illinois (209029158) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104691815

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHIRLISA LOVE

Location Address112 MEADOWCREST DRIVEBelleville, IL 62221

Mailing Address112 Meadowcrest DrBelleville, IL 62221-6749 · (161) 855-0502

Phone(618) 298-7601

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 22, 2023

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1104691815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in IL · 209029158✔ Licensed in MO · 2023046705

112 MEADOWCREST DRIVE, Belleville, IL 62221

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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

Shirlisa Love 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 ID1052836574

PECOS Enrollment IDI20250506002945

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 62221 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirlisa Love's NPI number?

The NPI number for Shirlisa Love is 1104691815. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Shirlisa Love located?

Shirlisa Love practices at 112 Meadowcrest Drive, Belleville, IL 62221. The listed phone number is (618) 298-7601.

What is Shirlisa Love's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shirlisa Love enrolled in Medicare?

Yes. Shirlisa Love is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shirlisa Love was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.