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

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
MENARD CORRECTIONAL CENTER, 711 E KASKASKIA ST., MENARD, IL 62259(618) 826-5071 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Menard, 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 AddressMENARD CORRECTIONAL CENTER, 711 E KASKASKIA ST.Menard, IL 62259
Mailing Address112 Meadowcrest DrBelleville, IL 62221-6749 · (161) 855-0502
Phone(618) 826-5071
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 22, 2023
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 5, 2024
✔ 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
MENARD CORRECTIONAL CENTER, Menard, IL 62259
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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 62259 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 Menard Correctional Center 711 E Kaskaskia St., Menard, IL 62259. The listed phone number is (618) 826-5071.

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 January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.