Active NPI 1295819688 Individual Practitioner Female Practitioner

Charlene Shallow , NP

Nurse Practitioner • Springfield, IL

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Charlene Shallow, NP is a registered Nurse Practitioner practitioner in Springfield, IL. With approximately 21 years of clinical practice since completing medical education in 2005, Charlene Shallow provides healthcare services at the registered practice location at 747 N RUTLEDGE ST FL 4.

Charlene Shallow is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St Fl 4

Springfield, IL 627026700

Telephone 2175458000

Associated Practice Facility / Clinic

🏢 Siu Physicians & Surgeons, Inc Facility NPI 1790705507

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +11.7 yrs vs City Avg

City Avg: 9.3 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

81 Specialists

Practicing in Springfield, IL (4929 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shallow (21 Years) 21 Yrs

Springfield Specialty Average (9.3 Years) 9.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	352	$360.15	$101.80
99213 Established patient office or other outpatient visit, typically 15 minutes	66	62	$253.97	$73.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$475.18	$136.75
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$159.75	$42.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	289	$365.00	$104.99
99213 Established patient office or other outpatient visit, typically 15 minutes	85	75	$257.00	$73.82
99441 Telephone medical discussion with physician, 5-10 minutes	22	22	$158.00	$45.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$468.47	$139.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	311	$216.01	$106.10
99213 Established patient office or other outpatient visit, typically 15 minutes	116	108	$144.63	$75.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$304.33	$140.64
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$57.80	$44.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	496	$254.42	$108.53
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$169.40	$76.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	34	$181.63	$60.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$395.00	$141.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$345.06	$150.53
99441 Telephone medical discussion with physician, 5-10 minutes	15	14	$50.52	$43.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	609	454	$255.00	$91.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	48	$345.00	$123.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	34	$180.00	$62.15
99442 Telephone medical discussion with physician, 11-20 minutes	32	28	$100.00	$62.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$395.00	$139.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	788	551	$255.00	$90.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$395.00	$137.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$180.00	$61.77
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$170.00	$61.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$345.00	$121.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	701	519	$255.00	$88.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$395.00	$136.61
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$170.00	$60.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	781	550	$255.00	$87.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$395.00	$132.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	27	$180.00	$60.42
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$170.00	$59.69

Medical Specialties & State Licenses

CMS Verified: 2022-02-03

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277.001220

(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.

Internal Medicine - Interventional Cardiology

NUCC Taxonomy Code: 207RI0011X

State License IL 277.001220

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Internal Medicine - Interventional Cardiology

NUCC Taxonomy Code: 207RI0011X

State License IL 209.005660

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209005660

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 277.001220

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209-005660

Definition to come...

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

747 N Rutledge St, Springfield, IL 627026700

Phone: 2175458000

Secondary Practice Locations

619 E Mason St Ste 4p57

Springfield, IL 627011034

Phone: 2177880706

409 W Oak St

Carbondale, IL 629011464

Phone: 6185294455

3905 W Ernestine Dr

Marion, IL 629595800

Phone: 6185294455

217 S Park Ave Ste 2

Herrin, IL 629483611

Phone: 6185294455

Practice Associates & Co-Workers

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

40 Associated Practitioners

Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location February 03, 2022

Registered at 747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍

Updated Business Mailing Address February 03, 2022

Registered at 201 E MADISON ST STE 328, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2022

Internal Medicine (License #277.001220 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2021

Internal Medicine (License #209.005660 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2021

Internal Medicine (License #277.001220 in IL)

📍

Updated Practice Location May 17, 2019

Registered at 619 E MASON ST STE 4P57, SPRINGFIELD, IL 627011034 (Tel: 2177880706)

📍

Updated Business Mailing Address May 17, 2019

Registered at 619 E MASON ST STE 4P57, SPRINGFIELD, IL 627011034 (Tel: 2177880706)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Internal Medicine (License #209.005660 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 747 N RUTLEDGE ST, 4TH FLOOR, SPRINGFIELD, IL 627026700 (Tel: 2177880706)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 19420, SPRINGFIELD, IL 627949420 (Tel: 2177880706)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLENE SHALLOW, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner

🟢

Initial NPI Registration & Enumeration October 24, 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: 1295819688

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2006

Last Update: February 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 E Madison St Ste 328

Springfield, IL 627025131

Phone: 2175458000

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.