Active NPI
Andrea C. Sheley, F.N.P.
- Family Nurse Practitioner
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 041.377705
- Practice address
- 701 N 1St St
Springfield, IL 62781-0001 - Phone
- (217) 788-3030
- NPI assigned
- Aug 1, 2012
- Last updated
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 041.377705 | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62781-0001
Mailing address
2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.377705 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Department Specialists LTD | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Memorial Expresscare, LLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Emergency Medicine Physician
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- NPI 1912283110
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Family Medicine Physician
- Algonquin, IL
- NPI 1902182108
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Family Medicine Physician
- Springfield, IL
- NPI 1750532362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1063768513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SPRING RD",
"address_2": "SUITE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231804",
"telephone_number": "630-472-8800",
"fax_number": "630-472-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-788-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELEY",
"first_name": "ANDREA",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041.377705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.