MRS. DIONA RANEE SHELTON LCSW
NPI 1194206607
Social Worker - Clinical in Troy, IL
About Mrs. Diona Ranee Shelton Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIONA RANEE SHELTON LCSW (NPI 1194206607) is an individual clinical provider in Troy, Illinois, licensed in Illinois (149.019778) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Diona Ranee Shelton Lcsw 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.
Medicare Billing Reassignments
3Medicare enrollment records show Diona Shelton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33130
- Reassigned Medicare billing, Illinois, Missouri and Texas enrollments
- 581 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Brightside Medical PA
- 50 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Brightside Medical PC
- 231 clinicians in this Medicare group
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 62294 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TROY, IL 62294
TROY, IL 62294
TROY, IL 62294
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 Diona Shelton's NPI number?
The NPI number for Diona Shelton is 1194206607. It was assigned to this individual provider in the NPPES registry on August 22, 2018.
Where is Diona Shelton located?
Diona Shelton practices at 189 E Us Highway 40 Ste D, Troy, IL 62294. The listed phone number is (618) 744-0844.
What is Diona Shelton's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Diona Shelton enrolled in Medicare?
Yes. Diona Shelton 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.
Which organizations bill Medicare for Diona Shelton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diona Shelton reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PA (Miami, FL), Brightside Medical, P.A. (San Francisco, CA) and Brightside Medical, P.C. (San Francisco, CA). Each 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 Diona Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diona Shelton accept?
Health plans from Blue Cross and Blue Shield of Texas, Medica, Oscar Health and UnitedHealthcare list Diona Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Diona Shelton was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Diona Ranee Shelton, LCSW · NPI 1194206607
Clinical provider in Troy, Illinois. Individual provider, active in the CMS NPPES registry since August 22, 2018.
## Identity
- **NPI:** 1194206607 (Entity type: Individual)
- **Enumerated:** August 22, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.019778 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 189 E US HIGHWAY 40 STE D, Troy, IL 62294-2267
- **Phone:** (618) 744-0844 · **Fax:** (618) 505-5044
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA); Brightside Medical, P.C. (NPI 1801355482, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1194206607) · Data from the CMS NPPES public registry.