Active NPI
Sophie Shumaker
- Physician Assistant
- Decatur, IL
National Provider Identifier
1295631737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085012574
- Practice address
- 2300 N Edward St
Decatur, IL 62526-4163 - Phone
- (217) 876-8121
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 085012574 | IL | Primary |
Addresses
Primary practice location
2300 N Edward St
Decatur, IL 62526-4163
Mailing address
574 N Antler Dr
Mount Zion, IL 62549-1102
Phone (309) 838-7686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1295631737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 N ANTLER DR",
"city": "MOUNT ZION",
"state": "IL",
"postal_code": "625491102",
"telephone_number": "309-838-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264163",
"telephone_number": "217-876-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAKER",
"first_name": "SOPHIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085012574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.