Individual provider Active NPI

Sharelle Mershon, APRN, FNP-BC

  • Family Nurse Practitioner
  • Shorewood, IL
National Provider Identifier
1447910179
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.024577 Issued in IL
Practice address
505 S Raven Rd
Shorewood, IL 60404-9104
Phone
(217) 775-2220
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.024577 IL Primary

Addresses

Primary practice location

505 S Raven Rd
Shorewood, IL 60404-9104

Mailing address

505 S Raven Rd
Shorewood, IL 60404-9104
Phone (217) 775-2220

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
I20220307002126 IL Practitioner - Nurse Practitioner 5294129383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Physicians of Joliet SCGroup PAC ID 5193078095, 18 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

121 Robert P Weidling Dr
Wilmington, IL 60481-1679
Phone (815) 726-2200

8001 S Western Ave
Chicago, IL 60620-5930
Phone (877) 883-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024577ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Nov 26, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Primary Care Physicians of Joliet SC CurrentSince May 25, 2025 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Jan 6, 2024 Accepting new patients
Oak Street Health Physicians Group, PC Family Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

7733 W Grand Ave
Elmwood Park, IL 60707
Phone (708) 452-9200

1101 E State St
Geneva, IL 60134
Phone (312) 519-9009

2025 S Chicago St
Ste 1
Joliet, IL 60436
Phone (815) 726-2200

2025 S Chicago St
Ste B
Joliet, IL 60436
Phone (815) 957-4174

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

121 Winchester Green Dr
Wilmington, IL 60481
Phone (815) 286-8487

Organizations & group practices 5

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1447910179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S RAVEN RD",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049104",
            "telephone_number": "217-775-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S RAVEN RD",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049104",
            "telephone_number": "217-775-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSHON",
        "first_name": "SHARELLE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

Verify at the official NPI Registry.