SHELBI N BIRCH APRN
NPI 1811530868
Nurse Practitioner - Family in Mattoon, IL

Active since October 22, 2019PECOS EnrolledAccepts Medicare Assignment
1004 HEALTH CENTER DR STE 100, MATTOON, IL 61938(217) 238-3435 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2026, May 27, 2025, Dec 28, 2022 and 4 more (7 updates tracked since 2019).

About Shelbi N Birch Aprn NPPES

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

SHELBI N BIRCH APRN (NPI 1811530868) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209019830) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811530868
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBI N BIRCHCredential: APRN
Location Address1004 HEALTH CENTER DR STE 100Mattoon, IL 61938-4607
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 22, 2019
Last NPPES UpdateMarch 9, 20267 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1811530868 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
License✔ Licensed in IL · 209019830
1004 HEALTH CENTER DR STE 100, Mattoon, IL 61938

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

Shelbi N Birch Aprn 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 ID8325468481
PECOS Enrollment IDI20201012002330
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shelbi Birch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services103 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier37 claims40 services$115.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Podiatrist (Foot & Ankle Surgery)
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Nurse Practitioner (Family)
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Orthopaedic Surgery
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Nurse Practitioner (Family)
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Podiatrist
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Orthopaedic Surgery
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Physician Assistant
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Physician Assistant
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938

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 Shelbi Birch's NPI number?

The NPI number for Shelbi Birch is 1811530868. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Shelbi Birch located?

Shelbi Birch practices at 1004 Health Center Dr Ste 100, Mattoon, IL 61938. The listed phone number is (217) 238-3435.

What is Shelbi Birch's specialty?

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

Is Shelbi Birch enrolled in Medicare?

Yes. Shelbi Birch 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 Shelbi Birch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelbi Birch reassigns Medicare benefits to 2 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL) and Midwest Post Acute Care PLLC (Chicago, IL). 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 Shelbi Birch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shelbi Birch affiliated with any hospitals?

According to CMS data, Shelbi Birch is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Shelbi Birch was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.