CHARLENE SHALLOW N.P.
NPI 1295819688
Nurse Practitioner in Springfield, IL

Q: What is Charlene Shallow's NPI number?

The NPI number for Charlene Shallow is 1295819688. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Charlene Shallow'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 Charlene Shallow was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment

747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Jan 18, 2022, Dec 20, 2021 and 4 more (7 updates tracked since 2019).

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About Charlene Shallow N.p. NPPES

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

CHARLENE SHALLOW N.P. (NPI 1295819688) is an individual nurse practitioner in Springfield, Illinois, licensed in Illinois (277.001220) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1295819688

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHARLENE SHALLOWCredential: N.P.

Location Address747 N RUTLEDGE ST FL 4Springfield, IL 62702-6700

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000

Phone(217) 545-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 24, 2006

Last NPPES UpdateFebruary 3, 20227 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1295819688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 277.001220✔ Licensed in IL · 209005660

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.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 277.001220 (IL), 209.005660 (IL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277.001220 (IL), 209-005660 (IL)

747 N RUTLEDGE ST FL 4, Springfield, IL 62702

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Secondary Practice Locations 4

Location 1619 E Mason St Ste 4P57Springfield, IL 62701-1034 · Phone (217) 788-0706 · Fax (217) 525-2535

Location 2409 W Oak StCarbondale, IL 62901-1464 · Phone (618) 529-4455 · Fax (618) 351-1287

Location 33905 W Ernestine DrMarion, IL 62959-5800 · Phone (618) 529-4455 · Fax (618) 351-1287

Location 4217 S Park Ave Ste 2Herrin, IL 62948-3611 · Phone (618) 529-4455 · Fax (618) 351-1287

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

Charlene Shallow N.p. 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 ID7315967833

PECOS Enrollment IDI20051129000904

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

473 services352 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141322

Location200 Stahlhut DriveLincoln, IL 62656 · Logan County

Emergency services

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141339

Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County

Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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.

DR. MUKUL BHATTARAI MD.

Internal Medicine (Cardiovascular Disease)