Individual provider Active NPI

Tayler Alexis Shelton, MD

  • Family Medicine Physician
  • Hillsboro, IL
National Provider Identifier
1447834635
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036170189 Issued in IL
Practice address
1280 E Tremont St
Hillsboro, IL 62049-1912
Phone
(217) 532-2320
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125078028 IL
Family Medicine Physician 207Q00000X 036170189 IL Primary

Addresses

Primary practice location

1280 E Tremont St
Hillsboro, IL 62049-1912

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other practice location 1

20613 N Broad St
Carlinville, IL 62626-3720
Phone (217) 854-5099

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000933 IL Practitioner - Family Practice 0143623835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Clinic, LLPGroup PAC ID 0547166076, shared by 23 NPIs, 678 clinicians

Practice addresses (Care Compare)

1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-4126

1204 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6266

1250 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6911

1280 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-2320

20613 N Broad St
Carlinville, IL 62626-3720
Phone (217) 854-5099

300 N Broad St
Carlinville, IL 62626-1304
Phone (217) 528-7541

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125078028ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic, LLP CurrentSince Sep 1, 2024 Accepting new patients
Springfield Clinic LLP CurrentSince Sep 1, 2024 Accepting new patients

Locations

20613 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020

1280 E Tremont St
Hillsboro, IL 62049
Phone 217528754173324

1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

Interoperability endpoints

  • Direct secure messaging: tayler.shelton.1@28977.direct.athenahealth.com

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 5

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1447834635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E TREMONT ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491912",
            "telephone_number": "217-532-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20613 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Carlinville",
            "state": "IL",
            "postal_code": "626263720",
            "country_code": "US",
            "telephone_number": "217-854-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TAYLER",
        "middle_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125078028",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036170189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, IL

Sources for this page

Verify at the official NPI Registry.