Shelby Renee Ahrens, PA-C
Individual provider Active NPI Physician Assistant · Normal, IL
NPI 1174316558 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1174316558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085011271 (IL)
- Practice address
- 1765 Bradford LN
Normal, IL 61761-1296 - Phone
- (309) 661-2400
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
1765 Bradford LN
Normal, IL 61761-1296
Phone (309) 661-2400
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- St Joseph 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 |
|---|---|---|---|---|
| I20250710001716 | IL | Practitioner - Physician Assistant | 6406360486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085011271 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1765 Bradford Ln
Normal, IL 61761
Phone (309) 661-2400
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085011271 | IL | Yes |
| Medical Physician Assistant | 363AM0700X | 085011271 | IL |
Addresses
Primary practice location
1765 Bradford LN
Normal, IL 61761-1296
Mailing address
1765 Bradford LN
Normal, IL 61761-1296
Phone (309) 661-2400
Other names
- Shelby Renee Nees
Other providers in Normal, IL
- Advocate Health and Hospitals Corp.
- Advocate Health and Hospitals Corp.
- Advocate Health and Hospitals Corporation
- Faisal Ahmed
- Sam Sun Young Ahn
- Airway Anesthesia PC
- Aka Counseling Center LLC
- Muhammad S Akhtar
- Lyndi Alberts
- Shahid Ali
All providers in Normal, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. 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.