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Deactivated NPI 1386611663 Deactivated / Inactive NPI Female Practitioner

Dr. Shana J Sewell , DO

Pediatrics • Mattoon, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shana Sewell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 04, 2006
NPI Deactivation Date November 19, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Shana Sewell, DO was a registered Pediatrics practicing in Mattoon, IL. Throughout an active medical career spanning 13 years, Dr. Sewell provided care at the practice location at 1005 HEALTH CENTER DRIVE until profile deactivation on 2019-11-19.

Practice Location & Contact Primary Location

Practice Address

1005 Health Center Drive
Suite 100

Mattoon, IL 61938

Telephone 2172584006
Fax 2172584120

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Mattoon, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036-112396

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Vincent Cagungun , RN

Nurse Anesthetist, Certified Registered

NPI 1003426974

Registered Nurse

Lana Keigley

Nurse Practitioner - Family

NPI 1033987417
NPI 1245346485

Doctor of Medicine (M.D.)

NPI 1265013080

Doctor of Osteopathic Medicine (D.O.)

Laurie Mooney , APN

Nurse Practitioner - Pediatrics

NPI 1609125186

Advanced Practice Nurse

Brooke Lema , NP

Nurse Practitioner - Pediatrics

NPI 1619644861

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated November 19, 2019

Record deactivated on November 19, 2019

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Updated Practice Location January 07, 2019

Registered at 1005 HEALTH CENTER DR STE 100, MATTOON, IL 619384693 (Tel: 2172584006)

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Updated Business Mailing Address January 07, 2019

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172586055)

NPI Profile Active July 18, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 18, 2014

Registered at 1005 HEALTH CENTER DRIVE, SUITE 100, MATTOON, IL 61938 (Tel: 2172584006)

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Updated Business Mailing Address July 18, 2014

Registered at 1005 HEALTH CENTER DRIVE, SUITE 202, MATTOON, IL 61938 (Tel: 2172582414)

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Provider Name / Credentials Updated July 18, 2014

Recorded as SHANA SEWELL, D.O

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2014

Pediatrics (License #036-112396 in IL)

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Initial NPI Registration & Enumeration March 04, 2006

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: 1386611663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2006
Last Update: July 18, 2014
Deactivation Date: November 19, 2019

Mailing Address

1005 Health Center Drive, Suite 202

Mattoon, IL 61938

Phone: 2172582414

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.