Shelby Guthrie, FNP – Family Nurse Practitioner

Key facts

NPI: 1679278352
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 209.027038 (IL)
Practice address: 1007 S 42ND St
Mount Vernon, IL 62864-6217
Phone: (618) 242-4626
NPI assigned: Apr 3, 2023
Sex: Female
Sole proprietor: Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Physician Services Corporation of Southern Illinois Inc. Internal Medicine Physician · Mount Vernon, IL · NPI 1831101807

Medicare reassignment Care Compare group NPD IL
Serenitypass Holistic Health PLLC Family Nurse Practitioner · Sandoval, IL · NPI 1639935281

Medicare reassignment Care Compare group NPD FAMILY · IL
Gerio Primary Care PC Geriatric Medicine (Family Medicine) Physician · Beckemeyer, IL · NPI 1700578846

Medicare reassignment NPD IL
Gerio Primary Care Rural Health Clinic/Center · Breese, IL · NPI 1700681459

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

St Mary'S Hospital, Centralia, Illinois General Acute Care Hospital · Centralia, IL · NPI 1083617245

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: University of Kentucky College of Medicine, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Serenitypass Holistic Health PLLC (2 clinicians)
Physician Services Corporation of Southern Illinois Inc (120 clinicians)

Practice addresses (Care Compare)

1631 Robinett Rd
Odin, IL 62870-2109
Phone (618) 552-3034

602 S 42ND St
A
Mount Vernon, IL 62864-6264
Phone (618) 899-3777

Hospital & facility affiliations

SSM Health St Mary'S Hospital -Centralia Hospital · Centralia, IL · CCN 140034

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230510001915	IL	Practitioner - Nurse Practitioner	5698869956	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
209.027038	IL	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Gerio Primary Care PC		Current since Jun 1, 2024	Accepting new patients
Physician Services Corporation of Southern Illinois Inc.		Current since May 1, 2023	Accepting new patients
Serenitypass Holistic Health PLLC	Family	Current since May 1, 2024	Accepting new patients
Gerio Primary Care		Past since Feb 1, 2025	Accepting new patients

Locations

602 S 42nd St
Mount Vernon, IL 62864
Phone (618) 242-1100

602 S 42nd St
#A
Mount Vernon, IL 62864
Phone (618) 899-3777

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

605 N Mine St
Sandoval, IL 62882
Phone (618) 552-3034

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	209.027038	IL	Yes

Addresses

Primary practice location

1007 S 42ND St
Mount Vernon, IL 62864-6217

Mailing address

251 8TH St
Carlyle, IL 62231-2103
Phone (618) 978-6549

Other practice location 1

602 S 42nd St
Mount Vernon, IL 62864-6264
Phone (618) 899-3278

Other practice location 2

605 N Mine St
Sandoval, IL 62882-1103
Phone (618) 978-6549

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	sguthrie438421@direct-ehr-ssmhc.com	Direct
FHIR URL	https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/	Other

Other providers in Mount Vernon, IL

All providers in Mount Vernon, IL · Family Nurse Practitioner in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.