Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shelly L. Baldwin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992321582

Shelly L. Baldwin is a Nurse Practitioner in Decatur, Illinois. Qualified in 2021, 5 years ago. Practices with Prairie Cardiovascular Consultants Ltd, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone: (217) 422-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 College Park, Decatur, IL 62521-8512 — (217) 875-7211

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209024992 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992321582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address1770 E Lake Shore Dr Ste 105, Decatur, IL 62521-3800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prairie Cardiovascular Consultants Ltd — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Decatur