Individual provider Active NPI

Shelly Vroman, ARNP

  • Adult Health Nurse Practitioner
  • Orion, IL
National Provider Identifier
1467992974
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209015626 Issued in IL
Practice address
12496 E 150TH St
Orion, IL 61273-9243
Phone
(097) 367-4633
NPI assigned
Mar 2, 2017
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2016024304OtherILANCC
209015626MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170406003050 IA Practitioner - Nurse Practitioner 7315223203 Reassigns benefits to 1 organization
I20170622002995 IL Practitioner - Nurse Practitioner 7315223203 Reassigns benefits to 2 organizations

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 CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians

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

LicenseStateTypeSpecialty
209.015626ILMDAcute Care Nurse Practitioner
209015626ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Multi-Specialty Current Accepting new patients
Best Practices Inpatient Care, LTD. Multi-Specialty CurrentSince Jan 18, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Best Practices Inpatient Care,LTD Multi-Specialty CurrentSince Jan 18, 2021 Accepting new patients
Trinity Medical Center Multi-Specialty CurrentSince Dec 17, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.