Active NPI
Shanel Renee Rhodes, PA-C
- Physician Assistant
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-004811
- Practice address
- 520 N 4TH St
Springfield, IL 62702-5238 - Phone
- (217) 545-8000
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 14, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-004811 | IL | Primary |
Addresses
Primary practice location
520 N 4TH St
Springfield, IL 62702-5238
Mailing address
201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000
Other practice location 1
1285 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-6127
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
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 N 4TH St
Springfield, IL 62702-5238
Phone (217) 545-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Southern Illinois University | Past | Accepting new patients |
Locations
201 E Madison St
Ste 328
Springfield, IL 62702
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
Interoperability endpoints
- shanelrhodes@siusm.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Siu Center for Family Medicine
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
dba SIU Center for Family Medicine - Care-A-Van
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
dba Community Nursing Services
- Clinic/Center
- E Saint Louis, IL
- NPI 1306273776
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
Hospital
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1275644122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MADISON ST STE 328",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025131",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025238",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "1285 Franciscan Dr",
"address_purpose": "LOCATION",
"city": "Litchfield",
"state": "IL",
"postal_code": "620561778",
"country_code": "US",
"telephone_number": "217-324-6127",
"fax_number": "217-324-5959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHODES",
"first_name": "SHANEL",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-004811",
"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 Nov 14, 2024; 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.