Tracy Shadley, FNP in Crystal Lake, IL - Medicare Nurse Practitioner

Tracy Shadley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Crystal Lake, Illinois. Her current practice location is 7220 Great Hill Rd, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 999-8777.

Tracy Shadley is licensed to practice in Illinois (license number 277.001865) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699263731.

Contact Information

	Tracy Shadley, FNP
	7220 Great Hill Rd, Crystal Lake, IL 60012-1637
	(847) 999-8777
	(815) 893-4534

Map and Direction

Provider's Profile

Full Name	Tracy Shadley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7220 Great Hill Rd, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699263731
Provider Enumeration Date: 04/24/2018
Last Update Date: 07/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5991051658
Enrollment ID: I20180711000089

Medical Identifiers

Medical identifiers for Tracy Shadley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699263731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277.001865 (Illinois)	Primary

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. Tracy Shadley allows following entities to bill medicare on her behalf.

Entity Name	Glenwood Center Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003033861 PECOS PAC ID: 2567552441 Enrollment ID: O20071214000734

Entity Name	In Home Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116

Entity Name	Chestnut Health Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588043939 PECOS PAC ID: 2264747344 Enrollment ID: O20150819006369

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. Tracy Shadley 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 Address	Practice Location Address
Tracy Shadley, FNP 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500	Tracy Shadley, FNP 7220 Great Hill Rd, Crystal Lake, IL 60012-1637 Ph: (847) 999-8777

Reviews and Comments

Nurse Practitioner Nurses in Crystal Lake, IL

Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160
Mrs. Shannon Harrison Malone, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 442 N Illinois Rte 31, Crystal Lake, IL 60012 Phone: 224-238-3211
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227
Jessica Barrera, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500
Erin Williams, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1305 Randall Rd, Crystal Lake, IL 60014 Phone: 815-356-0386

Tracy Shadley, FNP - Medicare Nurse Practitioner in Crystal Lake, IL