Active NPI
Sharelle Mershon, APRN, FNP-BC
- Family Nurse Practitioner
- Shorewood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.024577
- Practice address
- 505 S Raven Rd
Shorewood, IL 60404-9104 - Phone
- (217) 775-2220
- NPI assigned
- Dec 21, 2021
- Last updated
- Dec 21, 2021
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024577 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Primary Care Physicians of Joliet SC | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | 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.
-
- Primary Care Clinic/Center
- Joliet, IL
- NPI 1912473604
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.