MS. SHELLY FLAGG FNP-BC
NPI 1366806374
Nurse Practitioner - Family in Springfield, IL

Q: What is Shelly Flagg's NPI number?

The NPI number for Shelly Flagg is 1366806374. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Shelly Flagg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelly Flagg was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

400 N 9TH ST FL 2, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-6041 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Jan 3, 2022, Dec 28, 2021 (3 updates tracked since 2021).

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About Ms. Shelly Flagg Fnp-bc NPPES

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

MS. SHELLY FLAGG FNP-BC (NPI 1366806374) is an individual family provider in Springfield, Illinois, licensed in Illinois (209014012) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Litchfield.

NPPES Registry Identity

NPI1366806374

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SHELLY FLAGGCredential: FNP-BC

Location Address400 N 9TH ST FL 2Springfield, IL 62702-5310

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000

Phone(217) 545-8000

Fax(217) 545-6041

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 6, 2016

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1366806374 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 · 209014012

400 N 9TH ST FL 2, Springfield, IL 62702

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Secondary Practice Location 1

Location 1725 Saint Francis WayLitchfield, IL 62056-1780 · Phone (217) 324-8798

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ms. Shelly Flagg Fnp-bc 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 ID1850682410

PECOS Enrollment IDI20160629000807

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.

Hospital Affiliations CMS Care Compare 2

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

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

St Francis Hospital

Critical Access Hospitals · Litchfield, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141350

Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County

Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$55.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

ENAS MOHAMED SHANSHEN MD

Pediatrics (Pediatric Cardiology)