Shannon L Egan, APRN,CNP
Individual provider Active NPI Family Nurse Practitioner · Galesburg, IL
NPI 1043098445 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1043098445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209028961 (IL)
- Practice address
- 3315 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-1000
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
St Mary Medical Center
Practice addresses (Care Compare)
3315 N Seminary St
St 101
Galesburg, IL 61401-1251
Phone (309) 344-1000
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 343-5114
Hospital & facility affiliations
- St Mary Medical Center
- Osf Holy Family Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240113000732 | IL | Practitioner - Nurse Practitioner | 9537511654 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.028961 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Medical Center | Current | Accepting new patients | |
| St. Mary Medical Center | Current |
Accepting new patients | |
| St Mary Medical Center | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| St Mary Medical Center | Nurse Practitioner | Past | Accepting new patients |
| St Mary Medical Center | Past | Accepting new patients |
Locations
3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
3315 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
Ste 208
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
Ste 206
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
Ste 207
Galesburg, IL 61401
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.028961 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209028961 | IL | Yes |
Addresses
Primary practice location
3315 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 345-9440
Other providers in Galesburg, IL
- Deborah Jon Dyer
- Brett Andrew Eandi
- Tasha N Easley
- Edith Morgan Ecklund
- Carrie Edwards
- Pamela Jean Eilenfeldt
- Chris A Elliott
- Hannah Emery
- Endearing Hearts Home Care LLC
- Kari Endres
All providers in Galesburg, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.