Individual provider Active NPI

Shelly L Kuhns, APRN-FPA, CCNS

  • Clinical Nurse Specialist
  • Effingham, IL
National Provider Identifier
1134401078
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
277-000198 Issued in IL
Practice address
602 W Franklin Ave
Effingham, IL 62401-2334
Phone
(217) 722-1896
Fax
(833) 933-0632
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 277-000198 IL Primary

Addresses

Primary practice location

602 W Franklin Ave
Effingham, IL 62401-2334

Mailing address

602 W Franklin Ave
Effingham, IL 62401-2334
Phone (217) 722-1896

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814000293 IL Practitioner - Nurse Practitioner 5496927782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 W Franklin Ave
Effingham, IL 62401-2334
Phone (217) 722-1896

Hospital & facility affiliations

  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277-000198ILMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Care Consultants Clinical Nurse Specialist CurrentSince Feb 1, 2020 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

1200 N 4th St
Ste 143
Effingham, IL 62401

2201 Willenborg St
Ste 1
Effingham, IL 62401

602 W Franklin Ave
Effingham, IL 62401
Phone (217) 342-2232

249 N Morgan St
Shelbyville, IL 62565
Phone (217) 774-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22464/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1134401078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W FRANKLIN AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012334",
            "telephone_number": "217-722-1896",
            "fax_number": "833-933-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W FRANKLIN AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012334",
            "telephone_number": "217-722-1896",
            "fax_number": "833-933-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHNS",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "APRN-FPA, CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "277-000198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.