SYDNEY L SHACKELFORD FNP
NPI 1194422816
Nurse Practitioner - Family in Mattoon, IL
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Sydney Shackelford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
Olney, IL 62450
- Reassigned Medicare billing, Illinois enrollment
- 301 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.
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.
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, ILPhysician 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.
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.
MATTOON, IL 61938
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 Sydney Shackelford's NPI number?
The NPI number for Sydney Shackelford is 1194422816. It was assigned to this individual provider in the NPPES registry on February 13, 2023.
Where is Sydney Shackelford located?
Sydney Shackelford practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-2440.
What is Sydney Shackelford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sydney Shackelford enrolled in Medicare?
Yes. Sydney Shackelford 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 Sydney Shackelford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Shackelford reassigns Medicare benefits to 2 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL) and Richland Memorial Hospital, Inc. (Olney, 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 Sydney Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sydney Shackelford affiliated with any hospitals?
According to CMS data, Sydney Shackelford is affiliated with Sarah Bush Lincoln Health Center.
When was this NPI record last updated?
The NPPES record for Sydney Shackelford was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sydney L Shackelford, FNP · NPI 1194422816
Family physician in Mattoon, Illinois. Individual provider, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1194422816 (Entity type: Individual)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209026592 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HEALTH CENTER DR, Mattoon, IL 61938-4644
- **Phone:** (217) 258-2440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sarah Bush Lincoln Health Center (NPI 1568581379, Mattoon, IL); Richland Memorial Hospital, Inc. (NPI 1053792689, Olney, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194422816) · Data from the CMS NPPES public registry.