Individual provider Active NPI

Yanci J Shroyer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olney, IL
National Provider Identifier
1427723345
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.024027 Issued in IL
Practice address
1707 E Main St Ste 8
Olney, IL 62450-3156
Phone
(618) 839-3198
NPI assigned
Aug 12, 2021
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.024027 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1707 E Main St Ste 8
Olney, IL 62450-3156

Mailing address

1707 E Main St Ste 8
Olney, IL 62450-3156
Phone (618) 839-3198

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
I20220204000554 IL Practitioner - Nurse Practitioner 0648663112 Reassigns benefits to 3 organizations
Practice locations: Olney, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Practice addresses (Care Compare)

1707 E Main St
Olney, IL 62450-3156
Phone (317) 442-4437

410 E Mack Ave
Olney, IL 62450-2319
Phone (710) 658-6338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024027ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lawrence Health Department CurrentSince Jan 20, 2022 Accepting new patients
Yanci Jo Shroyer & Associates LLC Psychiatric/Mental Health CurrentSince Aug 6, 2023 Accepting new patients
Ultacare Medical PLLC Psychiatric/Mental Health CurrentSince Jan 13, 2024 Accepting new patients
County of Lawrence Health Department CurrentSince Jan 20, 2022 Accepting new patients

Locations

7951 E Maplewood Ave
Ste 118
Greenwood Village, CO 80111

40 N 64th St
Belleville, IL 62223
Phone (618) 397-8400

1115 N Wenthe Dr
Effingham, IL 62401
Phone (217) 247-7121

210 E College St
Energy, IL 62933
Phone (618) 942-7014

2101 James St
Lawrenceville, IL 62439
Phone (618) 943-3302

1707 E Main St
Ste 2
Olney, IL 62450
Phone (317) 442-4437

1707 E Main St
Ste 8
Olney, IL 62450
Phone (618) 839-3198

410 E Mack Ave
Olney, IL 62450
Phone (618) 395-7421

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1427723345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E MAIN ST STE 8",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503156",
            "telephone_number": "618-839-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E MAIN ST STE 8",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503156",
            "telephone_number": "618-839-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "YANCI",
        "middle_name": "J",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.024027",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

Verify at the official NPI Registry.