Aquila Shelby, APRN-FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013357 Issued in IL

Practice address

736 W 95TH St
Chicago, IL 60628-1063

Phone

(773) 487-0363

Fax

(773) 487-0900

NPI assigned

Nov 4, 2015

Last updated

Feb 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashelby25496@uihealth.direct-ci.com

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.

• Little Company of Mary Affiliated Services Inc

  dba Little Co of Mary Care Station

  • Urgent Care Clinic/Center
  • Oak Lawn, IL
  • NPI 1033162086
  Medicare reassignment NPD
• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Little Company of Mary Affiliated Services Inc

  dba Little Co of Mary Affiliated

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1588617260
  NPD
• The Board of Trustees of the University of Illinois

  dba Occupational Health Service Institute (OHSI)

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD
• The Board of Trustees of the University of Illinois

  dba Uih-Mile Square Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1669493466
  NPD
• The Board of Trustees of the University of Illinois

  dba Mile Square Auburn Gresham Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1952713323
  NPD
• Board of Trustees of the University of Illinois

  dba Medical Service Plan at Peoria

  • Pediatrics Physician
  • Peoria, IL
  • NPI 1467425322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1730552324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281063",
            "telephone_number": "773-487-0363",
            "fax_number": "773-487-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281063",
            "telephone_number": "773-487-0363",
            "fax_number": "773-487-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "AQUILA",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Sheinin, MD
• Joanna Sheinkop Sevim, DPM
• Mitchell B. Sheinkop, M.D.
• Anjali Shekar, M.D.
• Ketan K Sheladia, O.D.
• Diane C Shelby, M.ED.
• Robert Dennis Shelby, LCSW
• Samantha Michael Shelby, RBT
• Sarah Shelby, PHD
• Sheldon D Schwartz MD SC (Sheldon Dewey Schwartz MD)

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.