Individual provider Active NPI

Shelby Helmick

  • Family Nurse Practitioner
  • Peoria Heights, IL
National Provider Identifier
1548004658
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029917 Issued in IL
Practice address
4440 N Prospect Rd Ste a
Peoria Heights, IL 61616-6570
Phone
(309) 248-6399
Fax
(309) 248-1001
NPI assigned
Jun 24, 2024
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 209029917 IL Primary

Addresses

Primary practice location

4440 N Prospect Rd Ste a
Peoria Heights, IL 61616-6570

Mailing address

5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1069

Other practice location 1

5901 N Knoxville Ave
Peoria, IL 61614-4357
Phone (309) 691-1000

Other practice location 2

5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1069

Other practice location 3

600 S 13th St
Pekin, IL 61554-4936
Phone (309) 347-1151

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
I20240812001433 IL Practitioner - Nurse Practitioner 1153869946 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209029917ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asclepius Illinois LLC CurrentSince Jul 7, 2026 Accepting new patients
Therapeutic Spine and Pain Center, LTD. CurrentSince Jun 25, 2024 Accepting new patients
Carle Health Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Epss LLC - Central Series CurrentSince Sep 1, 2024 Accepting new patients
Epss Peoria LLC CurrentSince Sep 1, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Blueze LLC Past Accepting new patients
McLean County Foot & Ankle, LTD. Past Accepting new patients

Locations

3801 General Electric Rd
Ste 4
Bloomington, IL 61704
Phone (309) 319-2341

2351 Broadway St
Ste A
Pekin, IL 61554

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

4440 N Prospect Rd
Peoria Heights, IL 61616
Phone (309) 248-6399

4440 N Prospect Rd
Ste A
Peoria Heights, IL 61616
Phone (309) 248-6399

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11124/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1548004658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145069",
            "telephone_number": "309-691-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 N PROSPECT RD STE A",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166570",
            "telephone_number": "309-248-6399",
            "fax_number": "309-248-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 N Knoxville Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616144357",
            "country_code": "US",
            "telephone_number": "309-691-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5409 N Knoxville Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616145069",
            "country_code": "US",
            "telephone_number": "309-691-1069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Pekin",
            "state": "IL",
            "postal_code": "615544936",
            "country_code": "US",
            "telephone_number": "309-347-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMICK",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria Heights, IL

Sources for this page

Verify at the official NPI Registry.