Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407499189 Individual Practitioner Female Practitioner

Shelby Brewer

Nurse Practitioner • Charleston, IL

Professional Overview & Biography Verified Profile Summary

Shelby Brewer is a registered healthcare professional specializing in Nurse Practitioner in Charleston, IL. Practice services are available at 25 W LINCOLN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 W Lincoln Ave

Charleston, IL 619203070

Telephone 2173459600
Fax 2173453045
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Charleston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Charleston, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
19 14 $65.00 $46.32

Medical Specialties & State Licenses

CMS Verified: 2020-10-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209020042

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063428977

Doctor of Chiropractic

Janet Baker , RN

Registered Nurse - General Practice

NPI 1336235647

Registered Nurse

Amanda Gough , MS, ATC

Specialist/Technologist - Athletic Trainer

NPI 1710213178

Master of Science, Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated October 06, 2020

Recorded as SHELBY BREWER

NPI Profile Active October 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2019

Registered at 25 W LINCOLN AVE, CHARLESTON, IL 619203070 (Tel: 2173459600)

📍
Updated Business Mailing Address October 24, 2019

Registered at 25 W LINCOLN AVE, CHARLESTON, IL 619203070 (Tel: 2173459600)

👤
Provider Name / Credentials Updated October 24, 2019

Recorded as SHELBY HOLSAPPLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2019

Nurse Practitioner (License #209020042 in IL)

🟢
Initial NPI Registration & Enumeration October 24, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407499189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2019
Last Update: October 06, 2020
Sole Proprietor: No

Mailing Address

25 W Lincoln Ave

Charleston, IL 619203070

Phone: 2173459600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.