Shannon E Niebrugge, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209025287 Issued in IL

Practice address

609 N Cleveland St
Effingham, IL 62401-3314

Phone

(217) 273-2524

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon E. Tabbert Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clay County Hospital Hospital, Flora, IL, CCN 141351
• St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
• Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343

Merit-based Incentive Payment System (MIPS)

Final score

88.96 of 100Reported as apm

Quality

69.5

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cancer Care Specialists of Central Illinois, S.C.

  • Medical Oncology Physician
  • Decatur, IL
  • NPI 1871580142
  Medicare reassignment Care Compare group NPD
• Cancer Care Specialists of Central Illinois, S.C

  • Community/Retail Pharmacy
  • Decatur, IL
  • NPI 1356874093
  NPD

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

• County of Clay

  • Critical Access Hospital
  • Flora, IL
  • NPI 1184655136
  Care Compare affiliation
• Crawford Hospital District

  • Urology Physician
  • Newton, IL
  • NPI 1265309405

  Hospital

  Care Compare affiliation
• Crawford Hospital District

  • Critical Access Hospital
  • Robinson, IL
  • NPI 1265493720
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  • General Acute Care Hospital
  • Effingham, IL
  • NPI 1306800602
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  • Clinic/Center
  • Effingham, IL
  • NPI 1881214104

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1831825280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CLEVELAND ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013314",
            "telephone_number": "217-273-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CLEVELAND ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013314",
            "telephone_number": "217-273-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBRUGGE",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "TABBERT",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John G Nemeh, O.D.
• New Health Inc
• New Horizons O & P Effingham LLC
• New Light Counseling
• Alex Gregory Niebrugge, APRN
• Carissa Welton Niemerg
• Shawn Marlene Nies, FNP-C
• Steven A Nolan
• Northland Hearing Centers, Inc
• Northland Hearing Centers, Inc.

• Family Nurse Practitioner in Effingham, IL
• Providers in Effingham, 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 Nov 5, 2024; 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.
• Medicare Care Compare (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.