SOCORRO J SHELTON MD
NPI 1780905638
Family Medicine in Carbondale, IL
About Socorro J Shelton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOCORRO J SHELTON MD (NPI 1780905638) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (036-124717) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in West Frankfort.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Socorro J Shelton Md 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 Reassignment
Medicare enrollment records show Socorro Shelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 262 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILMemorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILSt Joseph Memorial Hospital
Critical Access Hospitals · Murphysboro, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARBONDALE, IL 62901
CARBONDALE, IL 62901
CARBONDALE, IL 62901
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 Socorro Shelton's NPI number?
The NPI number for Socorro Shelton is 1780905638. It was assigned to this individual provider in the NPPES registry on June 15, 2010. The provider is also known as Socorro J Justiniani.
Where is Socorro Shelton located?
Socorro Shelton practices at 305 W Jackson St Ste 200, Carbondale, IL 62901. The listed phone number is (618) 453-7777.
What is Socorro Shelton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Socorro Shelton enrolled in Medicare?
Yes. Socorro 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 organization bills Medicare for Socorro Shelton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Socorro Shelton reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). The 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 Socorro Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Socorro Shelton accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Socorro Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Socorro Shelton affiliated with any hospitals?
According to CMS data, Socorro Shelton is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and St Joseph Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Socorro Shelton was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Socorro J Shelton, MD · NPI 1780905638
Family Medicine physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since June 15, 2010.
## Identity
- **NPI:** 1780905638 (Entity type: Individual)
- **Enumerated:** June 15, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036-124717 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 W JACKSON ST, STE 200, Carbondale, IL 62901-1474
- **Phone:** (618) 453-7777 · **Fax:** (618) 453-1102
## 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:** Board Of Trustees Of Southern Illinois University (NPI 1396097960, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 28, 2020
- **Other identifiers:** Medicaid 036124717 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1780905638) · Data from the CMS NPPES public registry.