Charlene Shallow, NP - Medicare Nurse Practitioner in Springfield, IL

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Charlene Shallow, NP is a medicare enrolled "Nurse Practitioner" physician in Springfield, Illinois. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Siu Physicians And Surgeons Inc and her current practice location is 747 N Rutledge St Fl 4, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-8000.

Charlene Shallow is licensed to practice in Illinois (license number 277.001220) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295819688.

Contact Information

Charlene Shallow, NP
747 N Rutledge St Fl 4,
Springfield, IL 62702-6700
(217) 545-8000
Not Available

Map and Direction




Physician's Profile

Full NameCharlene Shallow
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location747 N Rutledge St Fl 4, Springfield, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlene Shallow graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1295819688
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315967833
  • Enrollment ID: I20051129000904

Medical Identifiers

Medical identifiers for Charlene Shallow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295819688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 277.001220 (Illinois)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 209.005660 (Illinois)Secondary
363L00000XNurse Practitioner 209005660 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277.001220 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209-005660 (Illinois)Secondary
363L00000XNurse Practitioner 277.001220 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
Carlinville Area HospitalCarlinville, ILHospital
Decatur Memorial HospitalDecatur, ILHospital
Abraham Lincoln Memorial HospitalLincoln, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Siu Physicians And Surgeons Inc2365352820282

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charlene Shallow allows following entities to bill medicare on her behalf.
Entity NameSiu Physicians & Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Shallow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlene Shallow, NP
201 E Madison St Ste 328,
Springfield, IL 62702-5131

Ph: (217) 545-8000		Charlene Shallow, NP
747 N Rutledge St Fl 4,
Springfield, IL 62702-6700

Ph: (217) 545-8000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.