Individual provider Active NPI

Amanda C Shils, P.A.

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1740399880
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085001947 Issued in IL
Practice address
4965 E Lost Bridge Rd
Decatur, IL 62521-5139
Phone
(217) 864-5531
Fax
(217) 864-2449
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085001947 IL
Physician Assistant 363A00000X 085001947 IL Primary

Addresses

Primary practice location

4965 E Lost Bridge Rd
Decatur, IL 62521-5139

Mailing address

1770 E Lake Shore Dr
Decatur, IL 62521-3832
Phone (217) 464-1470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashils129966@ewd.direct.hshs.org Direct

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
I20040514000116 IL Practitioner - Physician Assistant 3678563400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1836 S Macarthur Blvd
Springfield, IL 62704-4030
Phone (217) 789-1403

1900 E Lake Shore Dr
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889

4965 E Lost Bridge Rd
Decatur, IL 62521-5139
Phone (217) 864-5531

544 W Pershing Rd
Decatur, IL 62526-3226
Phone (217) 872-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Oct 31, 2016 Accepting new patients
HSHS Medical Group Inc CurrentSince Oct 31, 2016 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

2300 N Edward St
Ste 1910
Decatur, IL 62526
Phone (217) 876-2645

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

4965 E Lost Bridge Rd
Decatur, IL 62521
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: ashils129966@ewd.direct.hshs.org

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.

Hospital & facility affiliations 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1740399880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213832",
            "telephone_number": "217-464-1470",
            "fax_number": "217-464-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 E LOST BRIDGE RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215139",
            "telephone_number": "217-864-5531",
            "fax_number": "217-864-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILS",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085001947",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashils129966@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4965 E Lost Bridge Rd",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625215139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.