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SHANAN NICOLE HESSELDENZ AGNP
NPI 1467306431
Nurse Practitioner - Gerontology in Alton, IL

Active since February 25, 2026PECOS EnrolledAccepts Medicare Assignment
2 MEMORIAL DR STE 122, ALTON, IL 62002(618) 462-6612(618) 433-9274 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanan Nicole Hesseldenz Agnp NPPES

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

SHANAN NICOLE HESSELDENZ AGNP (NPI 1467306431) is an individual gerontology provider in Alton, Illinois, licensed in Illinois (209034609) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467306431
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANAN NICOLE HESSELDENZCredential: AGNP
Location Address2 MEMORIAL DR STE 122Alton, IL 62002-6723
Mailing Address2 Memorial Dr Ste 102Alton, IL 62002-6723 · (618) 462-6612
Phone(618) 462-6612
Fax(618) 433-9274
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 25, 2026
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1467306431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in IL · 209034609✔ Licensed in MO · 2026008712
2 MEMORIAL DR STE 122, Alton, IL 62002
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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

Shanan Nicole Hesseldenz Agnp 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 ID6901381607
PECOS Enrollment IDI20260518000736
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

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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

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

MOHSIN SALIH M.D.
Internal Medicine (Interventional Cardiology)
2 MEMORIAL DR STE 122
ALTON, IL 62002
Madison County (618) 462-6612

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 Shanan Hesseldenz's NPI number?

The NPI number for Shanan Hesseldenz is 1467306431. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Shanan Hesseldenz located?

Shanan Hesseldenz practices at 2 Memorial Dr Ste 122, Alton, IL 62002. The listed phone number is (618) 462-6612.

What is Shanan Hesseldenz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shanan Hesseldenz enrolled in Medicare?

Yes. Shanan Hesseldenz 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.

Is Shanan Hesseldenz affiliated with any hospitals?

According to CMS data, Shanan Hesseldenz is affiliated with Alton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shanan Hesseldenz was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.