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SHELLY SHALLAT
NPI 1184706988
Pediatrics in Washington, IL

Active since October 20, 2006PECOS Enrolled
10 SAINT CLARE CT, WASHINGTON, IL 61571(309) 886-4000(309) 886-4118 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelly Shallat NPPES

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

SHELLY SHALLAT (NPI 1184706988) is an individual pediatrics provider in Washington, Illinois, licensed in Illinois (036-101025) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184706988
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHELLY SHALLAT
Location Address10 SAINT CLARE CTWashington, IL 61571-9239
Mailing Address320 E Armstrong AvePeoria, IL 61603-3172 · (309) 680-7600 · Fax (309) 495-8614
Phone(309) 886-4000
Fax(309) 886-4118
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateNovember 11, 2015
✔ NPI 1184706988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-101025
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10 SAINT CLARE CT, Washington, IL 61571
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Other Identifiers 6

Medicaid036101025IL
Other07223454IL · Blue Cross
Medicare UPINI27792
Medicare ID-Type UnspecifiedK16654IL · Individual #
Medicare ID-Type Unspecified207594IL · Group #
OtherIL20810IL · Beech Street

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Shallat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shelly Shallat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group
13 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61571 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 17

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

JON BYLER
Pediatrics
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
JESSICA E. GARCEAU APN
Nurse Practitioner (Gerontology)
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
KATHERINE J ENGELKE APN
Nurse Practitioner
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
LORI KYLE LCSW
Social Worker (Clinical)
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 866-4000
GAIL GOEPPINGER
Nurse Practitioner
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
SCOTT CARLSON
Pediatrics
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4003
MATTHEW GORMAN
Internal Medicine
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
DR. JAY TYLER ROHDE MD
Pediatrics
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000

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 Shelly Shallat's NPI number?

The NPI number for Shelly Shallat is 1184706988. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Shelly Shallat located?

Shelly Shallat practices at 10 Saint Clare Ct, Washington, IL 61571. The listed phone number is (309) 886-4000.

What is Shelly Shallat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shelly Shallat enrolled in Medicare?

Yes. Shelly Shallat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Shallat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Shallat reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Shallat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Shallat was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.