Active NPI
Shelly Vroman, ARNP
- Adult Health Nurse Practitioner
- Orion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209015626
- Practice address
- 12496 E 150TH St
Orion, IL 61273-9243 - Phone
- (097) 367-4633
- NPI assigned
- Mar 2, 2017
- Last updated
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209.015626 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 209015626 | IL | Primary |
Addresses
Primary practice location
12496 E 150TH St
Orion, IL 61273-9243
Mailing address
12496 E 150TH St
Orion, IL 61273-9243
Phone (097) 367-4633
Other practice location 1
3880 Salem Lake Dr # F
Long Grove, IL 60047-5292
Phone (847) 719-2220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016024304 | Other | IL | ANCC |
| 209015626 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Medical Center
Practice addresses (Care Compare)
2560 24TH St
Suite 102
Rock Island, IL 61201-5389
Phone (309) 779-3670
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.015626 | IL | MD | Acute Care Nurse Practitioner |
| 209015626 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Multi-Specialty | Current | Accepting new patients |
| Best Practices Inpatient Care, LTD. | Multi-Specialty | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Best Practices Inpatient Care,LTD | Multi-Specialty | Current | Accepting new patients |
| Trinity Medical Center | Multi-Specialty | Current | Accepting new patients |
| Best Practices Inpatient Care, LTD. | Multi-Specialty | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
4626 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 386-0850
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
3880 Salem Lake Dr
#F
Long Grove, IL 60047
Phone (847) 235-3072
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
2560 24th St
Ste 102
Rock Island, IL 61201
Phone (309) 779-3670
2570 24th St
Ste 124
Rock Island, IL 61201
Phone (309) 779-3670
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
Interoperability endpoints
- svroman88776@direct.unitypoint.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1619913522
Multi-Specialty
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1073549713
Multi-Specialty
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1417240946
Multi-Specialty
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Genesis Aledo Medical Center
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
-
dba Hammond Henry Hospital
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1467992974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12496 E 150TH ST",
"city": "ORION",
"state": "IL",
"postal_code": "612739243",
"telephone_number": "097-367-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12496 E 150TH ST",
"city": "ORION",
"state": "IL",
"postal_code": "612739243",
"telephone_number": "097-367-4633"
}
],
"practiceLocations": [
{
"address_1": "3880 Salem Lake Dr # F",
"address_purpose": "LOCATION",
"city": "Long Grove",
"state": "IL",
"postal_code": "600475292",
"country_code": "US",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VROMAN",
"first_name": "SHELLY",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209.015626",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209015626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2016024304",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209015626",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.