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

Tyheatsha Shelly

Individual provider Family Nurse Practitioner · NPI 1295421477

Tyheatsha Shelly is a Nurse Practitioner in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (312) 942-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028836 (IL)

Record details

NPI number1295421477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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