MRS. SHARDAI NICHOLE SHELTON FNP
NPI 1720549124
Nurse Practitioner - Family in Thomasboro, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Shardai Shelton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 67 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Illinois enrollment
- 712 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Illinois enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Shardai Shelton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shardai Shelton reassigns Medicare benefits to 3 organizations: Applebaum Physiatry PLLC (Oak Brook, IL), Signify Health Medical Associates, PLLC (Dallas, TX) and Molina Care Connections, LLC. (Long Beach, CA). Each 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 Shardai Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 22 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.
# Mrs. Shardai Nichole Shelton, FNP · NPI 1720549124
Family physician in Thomasboro, Illinois. Individual provider, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1720549124 (Entity type: Individual)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 277.003116 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 301 N LINCOLN ST, Thomasboro, IL 61878-9683
- **Phone:** (217) 322-8563
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Applebaum Physiatry PLLC (NPI 1700598059, Oak Brook, IL); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720549124) · Data from the CMS NPPES public registry.