SHAWN MARLENE NIES FNP-C
NPI 1356094650
Nurse Practitioner - Family in Effingham, IL

Active since January 27, 2022PECOS Enrolled
503 N MAPLE ST, EFFINGHAM, IL 62401(217) 342-2121 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Jan 27, 2022 (2 updates tracked since 2022).

About Shawn Marlene Nies Fnp-c NPPES

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

SHAWN MARLENE NIES FNP-C (NPI 1356094650) is an individual family provider in Effingham, Illinois, licensed in Illinois (209024852) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356094650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWN MARLENE NIESCredential: FNP-C
Location Address503 N MAPLE STEffingham, IL 62401-2006
Mailing AddressPo Box 583Roscoe, IL 61073 · (314) 882-7929
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 27, 2022
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1356094650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209024852 Licensed in MO · 2022006057
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 2010023146 (MO), 249192 (WI), 041471170 (IL)
503 N MAPLE ST, Effingham, IL 62401

Other Names 1

Former Name (1)Shawn Broadhurst

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shawn Marlene Nies Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002292273
PECOS Enrollment IDI20220927000156
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.

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.
69 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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.

Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Occupational Therapist
503 N MAPLE ST
EFFINGHAM, IL 62401
Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Anesthetist, Certified Registered
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
General Acute Care Hospital
503 N MAPLE ST
EFFINGHAM, IL 62401

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 Shawn Nies's NPI number?

The NPI number for Shawn Nies is 1356094650. It was assigned to this individual provider in the NPPES registry on January 27, 2022. The provider is also known as Shawn Broadhurst.

Where is Shawn Nies located?

Shawn Nies practices at 503 N Maple St, Effingham, IL 62401. The listed phone number is (217) 342-2121.

What is Shawn Nies's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawn Nies enrolled in Medicare?

Yes. Shawn Nies is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawn Nies was last updated on June 9, 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.