Cheryl A Ellis (NPI# 1689819435, PAC ID# 4183808876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689819435 |
| PAC ID by PECOS | 4183808876 |
| Professional Enrollment ID | I20110404000664 |
| Full Name | Cheryl A Ellis |
| Organization Legal Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Address |
1006 S Division St Carterville IL 62918-1539 |
| Phone Number | 6189854841 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658285671 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140011 | HERRIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1006 S Division St, Carterville, IL 62918-1539 | 6189854841 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Organization Legal Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Walker | Certified Nurse Midwife | Shawnee Health Service and Development Corp | 3303 Logan Dr, Herrin, IL 62948-3732 |
| Tiffany Todd | Clinical Social Worker | Shawnee Health Service and Development Corp | 101 S Wall St, Carbondale, IL 62901-3021 |
| Douglas C Brown | Family Medicine | Shawnee Health Service and Development Corp | 1506 Sioux Dr, Marion, IL 62959-5209 |
| Kelly C Higgins | Internal Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Jeffery W Ripperda | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Jocelyn Leon Peters | Obstetrics/gynecology | Shawnee Health Service and Development Corp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Ana Risse | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Aaron Newcomb | Family Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Barbara G Grear | Clinical Social Worker | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Street Address |
1006 S DIVISION ST |
| City | CARTERVILLE |
| State | IL |
| Zip | 62918-1539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Christina Trapp | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Sara Hoyle | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Patricia A Boudet | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Ethan Weshinskey | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Gerald R Cameron | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Kathryn M Mcmurphy | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| James E Wachter | Family Practice | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Amanda J Bowers | Nurse Practitioner | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Shoshana B Church | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babu Prasad | Interventional Pain Management | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
| Cassandra Marie Vestal | Nurse Practitioner | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
| Melinda B Moore | Podiatry | 807 S Division St, Carterville, IL 62918-1528 | |
| Cathy D Bless | Nurse Practitioner | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Hammad Shafqat | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Michael B Little | Radiation Oncology | Southern Illinois Radiation Oncology LLC | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Sherry Michele Williams | Hospice/palliative Care | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Bachir Farah | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Mary Katherine Dean | Radiation Oncology | Southern Illinois Radiation Oncology LLC | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Bachir Berbari | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Find all physicians in zip 62918 | |||
| City | CARTERVILLE |
| Zip Code | 62918 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARTERVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Cheryl A Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.