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

Active since October 22, 2019PECOS Enrolled
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: July 26, 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.

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
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelbi N Birch Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

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 9

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

Orthopaedic Surgery
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
Nurse Practitioner (Acute Care)
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
Podiatrist (Foot & Ankle Surgery)
1004 HEALTH CENTER DR STE 100
MATTOON, IL 61938
Podiatrist
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 enrollment system.

When was this NPI record last updated?

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