Charlene Shallow, N.P.
NPI 1295819688ActiveIndividual· Nurse Practitioner· Springfield, IL
Nurse Practitioner (N.P.) with Siu Physicians and Surgeons Inc, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $480,862 for 2,627 claims, against $41,328 paid for services in 2024. Lists Abraham Lincoln Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1295819688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Feb 3, 2022 |
| Certified by provider | Feb 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 277.001220 | IL |
| Internal Medicine, Interventional Cardiology | 207RI0011X | 277.001220 | IL |
| Internal Medicine, Interventional Cardiology | 207RI0011X | 209.005660 | IL |
| Nurse Practitioner | 363L00000X | 209005660 | IL |
| Nurse Practitioner, Family | 363LF0000X | 277.001220 | IL |
| Nurse Practitioner, Family | 363LF0000X | 209-005660 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 405 |
|---|---|
| Services billed | 587 across 9 procedure codes |
| Paid by Medicare | $41,328 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,627 · 6,415 30-day fills |
|---|---|
| Patients | 436 |
| Total drug cost | $480,862 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Siu Physicians and Surgeons IncSpringfield, IL · 314 clinicians
Hospital affiliations
- Abraham Lincoln Memorial HospitalLincoln, IL
- Decatur Memorial HospitalDecatur, IL
- Jacksonville Memorial HospitalJacksonville, IL
- Memorial Medical CenterSpringfield, IL
- Taylorville Memorial HospitalTaylorville, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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