JERRY SHELBY NP
NPI 1194355685
Nurse Practitioner in Plainfield, IL

Q: What is Jerry Shelby's NPI number?

The NPI number for Jerry Shelby is 1194355685. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Q: What is Jerry Shelby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Shelby was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 January 23, 2020PECOS Enrolled

100/100

CMS Quality Rating

24047 W LOCKPORT ST, PLAINFIELD, IL 60544(815) 201-0573(815) 513-6178 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2020, Jan 23, 2020 (2 updates tracked since 2020).

On this page

About Jerry Shelby Np NPPES

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

JERRY SHELBY NP (NPI 1194355685) is an individual nurse practitioner in Plainfield, Illinois, licensed in Illinois (209020743) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194355685

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJERRY SHELBYCredential: NP

Location Address24047 W LOCKPORT STPlainfield, IL 60544-2205

Mailing Address1860 Paysphere CirChicago, IL 60674-0018 · (630) 469-9200

Phone(815) 201-0573

Fax(815) 513-6178

Sole ProprietorNo

Enumeration DateJanuary 23, 2020

Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1194355685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209020743

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

24047 W LOCKPORT ST, Plainfield, IL 60544

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Shelby Np 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 Reassignments

Medicare enrollment records show Jerry Shelby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

E Mediate Cure LLC

4.6 mi

Urgent Care

1039 BROOK FOREST AVE
Shorewood, IL 60404

Reassigned Medicare billing, Illinois enrollment
49 clinicians in this Medicare group

NPI 1780051466 (815) 681-7733

Aurora Emergency Physicians, LLC

9.0 mi

Emergency Medicine

2000 OGDEN AVE
Aurora, IL 60504

Reassigned Medicare billing, Illinois enrollment
116 clinicians in this Medicare group

NPI 1508389628 (630) 978-6200

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services40 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

35 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60544 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.9

Improvement Activities

Other Providers at the Same Location NPPES 2

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

PARK DENTAL GROUP, INC

Dentist

24047 W LOCKPORT ST, SUITE 207
PLAINFIELD, IL 60544

Will County (815) 267-7878

MR. BRIAN HAZARD

Counselor (Mental Health)

24047 W LOCKPORT ST
PLAINFIELD, IL 60544

Will County (630) 300-8928

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 Jerry Shelby's NPI number?

The NPI number for Jerry Shelby is 1194355685. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Jerry Shelby located?

Jerry Shelby practices at 24047 W Lockport St, Plainfield, IL 60544. The listed phone number is (815) 201-0573.

What is Jerry Shelby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jerry Shelby enrolled in Medicare?

Yes. Jerry Shelby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Shelby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Shelby reassigns Medicare benefits to 2 organizations: E Mediate Cure LLC (Shorewood, IL) and Aurora Emergency Physicians, LLC (Aurora, IL). 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 Jerry Shelby'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 Jerry Shelby was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.