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MRS. SHARDAI NICHOLE SHELTON FNP
NPI 1720549124
Nurse Practitioner - Family in Thomasboro, IL

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
301 N LINCOLN ST, THOMASBORO, IL 61878(217) 322-8563 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Mar 11, 2021, Jul 30, 2020 (3 updates tracked since 2020).

About Mrs. Shardai Nichole Shelton Fnp NPPES

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

MRS. SHARDAI NICHOLE SHELTON FNP (NPI 1720549124) is an individual family provider in Thomasboro, Illinois, licensed in Illinois (277.003116) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720549124
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHARDAI NICHOLE SHELTONCredential: FNP
Location Address301 N LINCOLN STThomasboro, IL 61878-9683
Mailing Address301 N Lincoln StThomasboro, IL 61878-9683 · (217) 322-8563
Phone(217) 322-8563
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2019
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1720549124 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
Licenses✔ Licensed in IL · 277.003116✔ Licensed in HI · APRN-2667
301 N LINCOLN ST, Thomasboro, IL 61878
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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

Mrs. Shardai Nichole Shelton Fnp 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 ID8426386467
PECOS Enrollment IDI20230831002589
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61878 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.

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 Shardai Shelton's NPI number?

The NPI number for Shardai Shelton is 1720549124. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Shardai Shelton located?

Shardai Shelton practices at 301 N Lincoln St, Thomasboro, IL 61878. The listed phone number is (217) 322-8563.

What is Shardai Shelton's specialty?

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

Is Shardai Shelton enrolled in Medicare?

Yes. Shardai Shelton 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.

When was this NPI record last updated?

The NPPES record for Shardai Shelton was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.