SHAWNEE HEALTH CARE, CARTERVILLE
NPI 1811928732
Clinic/Center - Federally Qualified Health Center (FQHC) in Carterville, IL

Active since July 06, 2006
1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 985-4841(618) 985-3774 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, Apr 4, 2024, Dec 23, 2016 and 1 more (4 updates tracked since 2016).

About Shawnee Health Care, Carterville NPPES

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

SHAWNEE HEALTH CARE, CARTERVILLE (NPI 1811928732) is a healthcare organization registered as a federally qualified health center (fqhc) in Carterville, Illinois and active in the NPI registry since July 2006. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811928732
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Location Address1006 S DIVISION STCarterville, IL 62918-1539
Mailing Address109 California St, P O Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860
Fax(618) 985-3774
Organization SubpartYes
Authorized OfficialChristina CarneyCeo · (618) 956-9521
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1811928732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
1006 S DIVISION ST, Carterville, IL 62918

Other Names 1

Doing Business AsShawnee Health Care, Carterville

Other Identifiers 2

Other10032052IL · Bcbs
OtherCF3444IL · Medicare Rr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnee Health Care, Carterville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Shawnee Health Care, Carterville, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner15
Family Practice8
Certified Nurse Midwife (CNM)7
Obstetrics/Gynecology7
Clinical Social Worker6
Mental Health Counselor5
Internal Medicine2
Registered Dietitian or Nutrition Professional2

Nearest to this location (20)

See all 52
Nurse Practitioner
NPI 1639690191
1006 S DIVISION ST
Carterville, IL 62918
(618) 519-9200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679548689
1006 S DIVISION ST
Carterville, IL 62918
(618) 985-4841
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1033038005
1006 S DIVISION ST
Carterville, IL 62918
(618) 519-9200
✔ Accepts MedicareSame address
Family Practice
NPI 1326429242
1006 S DIVISION ST
Carterville, IL 62918
(618) 519-9200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952785222
1006 S DIVISION ST
Carterville, IL 62918
(618) 519-9200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1548852437
1006 S DIVISION ST
Carterville, IL 62918
(618) 519-9200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1427713403
6355 BRANDHORST RD
Carterville, IL 62918
(618) 519-9200
✔ PECOS2.0 mi
Mental Health Counselor
NPI 1740476910
1220 S PARK AVE
Herrin, IL 62948
(618) 988-1757
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1962204933
3111 WILLIAMSON COUNTY PKWY
Marion, IL 62959
(618) 519-9200
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Social Worker
NPI 1386356699
3111 WILLIAMSON COUNTY PKWY
Marion, IL 62959
(618) 519-9200
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Social Worker
NPI 1932818044
3111 WILLIAMSON COUNTY PKWY
Marion, IL 62959
(618) 519-9200
✔ PECOS✔ Accepts Medicare5.3 mi
Mental Health Counselor
NPI 1427164821
3111 WILLIAMSON COUNTY PKWY
Marion, IL 62959
(618) 519-9200
✔ PECOS5.3 mi
Internal Medicine
NPI 1225525579
3111 WILLIAMSON COUNTY PKWY
Marion, IL 62959
(618) 519-9200
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1528478559
400 S LEWIS LN
Carbondale, IL 62901
(618) 519-9200
✔ PECOS✔ Accepts Medicare7.0 mi
Family Practice
NPI 1801201538
400 S LEWIS LN
Carbondale, IL 62901
(618) 519-9200
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1205411204
400 S LEWIS LN
Carbondale, IL 62901
(618) 519-9200
✔ PECOS✔ Accepts Medicare7.0 mi
Internal Medicine
NPI 1982801742
400 S LEWIS LN
Carbondale, IL 62901
(618) 519-9900
✔ PECOS✔ Accepts Medicare7.0 mi
Certified Nurse Midwife (CNM)
NPI 1366013013
101 S WALL ST
Carbondale, IL 62901
(618) 519-9200
✔ PECOS✔ Accepts Medicare7.4 mi
Certified Nurse Midwife (CNM)
NPI 1982498986
101 S WALL ST
Carbondale, IL 62901
(618) 519-9200
✔ PECOS✔ Accepts Medicare7.4 mi
Obstetrics/Gynecology
NPI 1467026195
101 S WALL ST
Carbondale, IL 62901
(618) 519-9200
✔ PECOS✔ Accepts Medicare7.4 mi
See all 52 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shawnee Health Service And Development Corp's NPI number?

The NPI number for Shawnee Health Service And Development Corp is 1811928732. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Shawnee Health Care, Carterville.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 1006 S Division St, Carterville, IL 62918. The listed phone number is (618) 985-4841.

What is Shawnee Health Service And Development Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Shawnee Health Service And Development Corp enrolled in Medicare?

Yes. Shawnee Health Service And Development Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shawnee Health Service And Development Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 8 Medicare specialties reassign their Medicare billing to Shawnee Health Service And Development Corp. A 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 the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (8) and Certified Nurse Midwife (CNM) (7). Of these, 6 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shawnee Health Service And Development Corp accept?

Health plans from UnitedHealthcare list Shawnee Health Service And Development Corp 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.

When was this NPI record last updated?

The NPPES record for Shawnee Health Service And Development Corp was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.