SHELLY L. BALDWIN
NPI 1992321582
Nurse Practitioner in Decatur, IL

Q: 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.

Q: What is Shelly Baldwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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 21 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.

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment

1770 E LAKE SHORE DR STE 105, DECATUR, IL 62521(217) 422-6100 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Nov 5, 2024, Jun 19, 2020 (3 updates tracked since 2020).

On this page

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

NPI1992321582

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHELLY L. BALDWIN

Location Address1770 E LAKE SHORE DR STE 105Decatur, IL 62521-3800

Mailing Address1770 E Lake Shore Dr Ste 105Decatur, IL 62521-3800 · (217) 422-6100

Phone(217) 422-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 19, 2020

Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1992321582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209024992

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1770 E LAKE SHORE DR STE 105, Decatur, IL 62521

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Secondary Practice Location 1

Location 11 College ParkDecatur, IL 62521-8512 · Phone (217) 875-7211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456896547

PECOS Enrollment IDI20240712002828

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.

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, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Physician 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.

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.

Other Providers at the Same Location NPPES 12

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

DR. JEANNE MARIE KAIROUZ MD

Internal Medicine (Cardiovascular Disease)