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SHELBY LEEANN RODGERS LCSW
NPI 1205691425
Social Worker - Clinical in Mount Vernon, IL

Active since February 16, 2024PECOS EnrolledAccepts Medicare Assignment
11101 N WELLS BYPASS RD, MOUNT VERNON, IL 62864(618) 927-6119 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2025, Jul 18, 2024, Apr 23, 2024 and 1 more (4 updates tracked since 2024).

About Shelby Leeann Rodgers Lcsw NPPES

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

SHELBY LEEANN RODGERS LCSW (NPI 1205691425) is an individual clinical provider in Mount Vernon, Illinois, licensed in Illinois (149026554) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205691425
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY LEEANN RODGERSCredential: LCSW
Location Address11101 N WELLS BYPASS RDMount Vernon, IL 62864-6588
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 927-6119
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 16, 2024
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1205691425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149026554
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 149026554 (IL)
11101 N WELLS BYPASS RD, Mount Vernon, IL 62864
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Other Names 1

Former Name (1)Shelby Leeann Payne Lcsw

Secondary Practice Locations 3

Location 1201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 351-4917
Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0721
Location 32 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524

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

Shelby Leeann Rodgers 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.

PECOS PAC ID9436598885
PECOS Enrollment IDI20240417003134
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 Shelby Rodgers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Medical Services, Nfp
42 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

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 62864 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
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shelby Rodgers's NPI number?

The NPI number for Shelby Rodgers is 1205691425. It was assigned to this individual provider in the NPPES registry on February 16, 2024. The provider is also known as Shelby Leeann Payne Lcsw.

Where is Shelby Rodgers located?

Shelby Rodgers practices at 11101 N Wells Bypass Rd, Mount Vernon, IL 62864. The listed phone number is (618) 927-6119.

What is Shelby Rodgers's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelby Rodgers enrolled in Medicare?

Yes. Shelby Rodgers 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 organization bills Medicare for Shelby Rodgers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Rodgers reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, 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 Shelby Rodgers'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 Shelby Rodgers was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.