SHELLY L. BALDWIN
NPI 1992321582
Nurse Practitioner in Decatur, IL
About Shelly L. Baldwin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY L. BALDWIN (NPI 1992321582) is an individual nurse practitioner in Decatur, Illinois, licensed in Illinois (209024992) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with St Marys Hospital, and maintains a secondary practice location in Decatur.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Shelly L. Baldwin 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 Shelly Baldwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 101 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Hoopeston, IL 60942
- Reassigned Medicare billing, Illinois enrollment
- 488 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Marys Hospital
Acute Care Hospitals · Decatur, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
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 Shelly Baldwin's NPI number?
The NPI number for Shelly Baldwin is 1992321582. It was assigned to this individual provider in the NPPES registry on June 19, 2020.
Where is Shelly Baldwin located?
Shelly Baldwin practices at 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521. The listed phone number is (217) 422-6100.
What is Shelly Baldwin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shelly Baldwin enrolled in Medicare?
Yes. Shelly Baldwin 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 Shelly Baldwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Baldwin reassigns Medicare benefits to 3 organizations: Prairie Cardiovascular Consultants Ltd (Springfield, IL), Carle Health Medical Group (Urbana, IL) and Hoopeston Community Memorial Hospital (Hoopeston, 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 Shelly Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Baldwin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Shelly Baldwin 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 Shelly Baldwin affiliated with any hospitals?
According to CMS data, Shelly Baldwin is affiliated with St Marys Hospital.
When was this NPI record last updated?
The NPPES record for Shelly Baldwin was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Shelly L. Baldwin · NPI 1992321582
Nurse Practitioner physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1992321582 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209024992 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1770 E LAKE SHORE DR STE 105, Decatur, IL 62521-3800
- **Phone:** (217) 422-6100
## 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): Prairie Cardiovascular Consultants Ltd (NPI 1982714218, Springfield, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL); Hoopeston Community Memorial Hospital (NPI 1578504544, Hoopeston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992321582) · Data from the CMS NPPES public registry.