Charlene Shallow is a Springfield, Illinois based nurse practitioner with 19 years of experience in . She completed her graduation in 2005. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charlene Shallow is 277.001220 in Illinois. Her current practice location is 747 N Rutledge St Fl 4, Springfield. Patients can reach her at 217-545-8000. Charlene Shallow is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1295819688. Charlene Shallow has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Charlene Shallow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Charlene Shallow
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
N.P.
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2005
Accepts Medicare Assignment:
Yes
Practice Address:
747 N Rutledge St Fl 4, Springfield, Illinois, 62702-6700
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7315967833
Enrollment ID:
I20051129000904
NPI Number:
1295819688
NPI Enumeration Date:
24 Oct, 2006
NPI Last Update On:
03 Feb, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlene Shallow are as mentioned below.
License Number
Specialization
State
Status
277.001220
Illinois
Primary
277.001220
Internal Medicine
Illinois
Secondary
209.005660
Internal Medicine
Illinois
Secondary
209005660
Nurse Practitioner
Illinois
Secondary
277.001220
Family
Illinois
Secondary
209-005660
Family
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140148)
Springfield, IL
Acute Care Hospital
(140053)
Springfield, IL
Acute Care Hospital
(140089)
Macomb, IL
Acute Care Hospital
(141339)
Taylorville, IL
Critical Access Hospital
(140058)
Jacksonville, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Charlene Shallow is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Siu Physicians And Surgeons Inc (2365352820)
251
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Charlene Shallow 201 E Madison St Ste 328, Springfield, Illinois
Zip:
62702-5131
Phone Number:
217-545-8000
Patients can reach Charlene Shallow at 747 N Rutledge St Fl 4, Springfield, Illinois or can call to book an appointment on 217-545-8000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.