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Active NPI 1194355685 Individual Practitioner Male Practitioner

Jerry Shelby , NP

Nurse Practitioner • Plainfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jerry Shelby, NP is a certified Nurse Practitioner practicing in Plainfield, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Jerry Shelby delivers high-quality medical care to the local community at 24047 W LOCKPORT ST.

Jerry Shelby is affiliated with Aurora Emergency Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24047 W Lockport St

Plainfield, IL 605442205

Telephone 8152010573
Fax 8155136178
Associated Practice Facility / Clinic
🏢 Park Dental Group, Inc Facility NPI 1588986418

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Plainfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -0.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Plainfield, IL (4929 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shelby (7 Years) 7 Yrs
Plainfield Specialty Average (7.9 Years) 7.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
40 40 $1098.88 $105.58
99285 Emergency department visit for life threatening or functioning severity
35 35 $1655.14 $152.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
19 19 $65.84 $6.94

Medical Specialties & State Licenses

CMS Verified: 2025-10-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209020743

(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.

Hospital & Practice Group Affiliations

Aurora Emergency Physicians Llc

2000 Ogden Ave, Aurora, IL 605047222

Phone: 6309786200

Practice Associates & Co-Workers

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

1 Associated Practitioners
Brian Hazard

Counselor - Mental Health

NPI 1831795863

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 01, 2025

Registered at 24047 W LOCKPORT ST, PLAINFIELD, IL 605442205 (Tel: 8152010573)

NPI Profile Active January 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2020

Registered at 301 MADISON ST, JOLIET, IL 604356549 (Tel: 8157401900)

📍
Updated Business Mailing Address January 30, 2020

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606740018 (Tel: 6304699200)

👤
Provider Name / Credentials Updated January 30, 2020

Recorded as JERRY SHELBY, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2020

Nurse Practitioner (License #209020743 in IL)

🟢
Initial NPI Registration & Enumeration January 23, 2020

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: 1194355685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2020
Last Update: October 01, 2025
Sole Proprietor: No

Mailing Address

1860 Paysphere Cir

Chicago, IL 606740018

Phone: 6304699200

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.