| Shannon Lynn Whitley, APRN | |
|
1650 Midtown Rd, Peru, IL 61354-1200 | |
| (815) 223-6843 | |
| Not Available |
| Full Name | Shannon Lynn Whitley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1650 Midtown Rd, Peru, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003572470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.023633 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1552 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lynn Whitley, APRN 1322 W Madison St, Ottawa, IL 61350-2565 Ph: (815) 822-1077 | Shannon Lynn Whitley, APRN 1650 Midtown Rd, Peru, IL 61354-1200 Ph: (815) 223-6843 |
Tiffany Ann Shinnick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-220-2645 | |
Melissa Elvira Ramirez, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Mrs. Candace R Ramirez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Road, Peru, IL 61354 Phone: 815-538-1351 | |
Jennifer Marie Dowding, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 6th St, Peru, IL 61354 Phone: 309-308-5072 | |
Keith Christensen, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-664-5311 | |
Debra Herz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-2808 Fax: 815-220-2691 |