SYDNEY L SHACKELFORD FNP
NPI 1194422816
Nurse Practitioner - Family in Mattoon, IL

Active since February 13, 2023PECOS EnrolledAccepts Medicare Assignment
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-2440 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sydney L Shackelford Fnp NPPES

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

SYDNEY L SHACKELFORD FNP (NPI 1194422816) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209026592) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194422816
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSYDNEY L SHACKELFORDCredential: FNP
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4653 · (217) 868-2812
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
NPI 1194422816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209026592
1000 HEALTH CENTER DR, Mattoon, IL 61938

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

Sydney L Shackelford Fnp 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 ID2365807492
PECOS Enrollment IDI20230425001830
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.

Areas of Expertise CMS Part B claims 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
50 services46 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
34 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
1000 HEALTH CENTER DR, PATHOLOGY DEPARTMENT
MATTOON, IL 61938
Internal Medicine (Hematology & Oncology)
1000 HEALTH CENTER DR, ONCOLOGY DEPARTMENT
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR, ANESTHESIA DEPARTMENT
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR, ANESTHESIOLOGY DEPARTMENT
MATTOON, IL 61938
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HEALTH CENTER DR, PATHOLOGY DEPARTMENT
MATTOON, IL 61938
Dietitian, Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Dietitian, Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Dietitian, Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194422816, enumerated as an "individual" on February 13, 2023.

The provider is located at 1000 HEALTH CENTER DR MATTOON, IL 61938 and the phone number is (217) 258-2440.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Sydney Shackelford is affiliated with: SARAH BUSH LINCOLN HEALTH CENTER.