SHELBY MEMORIAL HOSPITAL N H
NPI 1376557983
Skilled Nursing Facility in Shelbyville, IL

Active since July 28, 2006
200 S CEDAR ST, SHELBYVILLE, IL 62565(217) 774-3961(217) 774-5713 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2022, Jan 31, 2019 (2 updates tracked since 2019).

About Shelby Memorial Hospital N H NPPES

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

SHELBY MEMORIAL HOSPITAL N H (NPI 1376557983) is a healthcare organization registered as a skilled nursing facility in Shelbyville, Illinois and active in the NPI registry since July 2006. The organization lists Mark D Evard, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1376557983
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHSHS GOOD SHEPHERD HOSPITAL INC
Location Address200 S CEDAR STShelbyville, IL 62565-1838
Mailing Address3051 Hollis DrSpringfield, IL 62704-7450 · (217) 774-3961 · Fax (217) 774-5713
Fax(217) 774-5713
Organization SubpartNo
Authorized OfficialMark D EvardVp Of Revenue Cycle · (217) 492-9651
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1376557983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in IL · 0015677
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
200 S CEDAR ST, Shelbyville, IL 62565

Other Names 1

Doing Business AsShelby Memorial Hospital N H

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Memorial Hospital N H is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Shelby Memorial Hospital N H, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner11
Neurology4
Emergency Medicine3
Internal Medicine3
Family Practice2
Cardiovascular Disease (Cardiology)1

Nearest to this location (20)

See all 24
Nurse Practitioner
NPI 1982431284
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215713631
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1851383418
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932489994
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992523658
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356204820
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407147572
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982498945
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336795871
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306402870
200 S CEDAR ST
Shelbyville, IL 62565
(217) 774-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1366554305
1304 BURNETT DR
Taylorville, IL 62568
(217) 321-9310
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1720343072
800 E CARPENTER ST
Springfield, IL 62769
(217) 544-6464
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1083109565
301 N 8TH ST
Springfield, IL 62701
(217) 528-7541
✔ PECOS✔ Accepts Medicare52 mi
Internal Medicine
NPI 1689819138
800 E CARPENTER ST
Springfield, IL 62769
(217) 544-6464
✔ PECOS✔ Accepts Medicare53 mi
Internal Medicine
NPI 1639495971
800 E CARPENTER ST ST. JOHN'S HOSPITAL
Springfield, IL 62702
(217) 544-6464
✔ PECOS✔ Accepts Medicare53 mi
Cardiovascular Disease (Cardiology)
NPI 1952483968
619 E MASON ST STE 4P57
Springfield, IL 62701
(217) 788-0706
✔ PECOS53 mi
Nurse Practitioner
NPI 1306949375
1745 W WALNUT ST
Jacksonville, IL 62650
(217) 243-6454
✔ PECOS✔ Accepts Medicare81 mi
Emergency Medicine
NPI 1639308737
210 W WALNUT ST
Canton, IL 61520
(309) 647-5240
✔ PECOS✔ Accepts Medicare103 mi
Neurology
NPI 1568740546
2900 W OKLAHOMA AVE
Milwaukee, WI 53215
(414) 649-6000
✔ PECOS251 mi
Neurology
NPI 1467477901
3555 OLENTANGY RIVER RD STE 2002
Columbus, OH 43214
(614) 533-5500
✔ PECOS✔ Accepts Medicare311 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hshs Good Shepherd Hospital Inc's NPI number?

The NPI number for Hshs Good Shepherd Hospital Inc is 1376557983. It was assigned to this organization in the NPPES registry on July 28, 2006. The provider is doing business as Shelby Memorial Hospital N H.

Where is Hshs Good Shepherd Hospital Inc located?

Hshs Good Shepherd Hospital Inc is located at 200 S Cedar St, Shelbyville, IL 62565. The listed phone number is (217) 774-3961.

What is Hshs Good Shepherd Hospital Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Hshs Good Shepherd Hospital Inc enrolled in Medicare?

Yes. Hshs Good Shepherd Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hshs Good Shepherd Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Hshs Good Shepherd Hospital Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (11), Neurology (4) and Emergency Medicine (3). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hshs Good Shepherd Hospital Inc was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.