Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerry Shelby, NP

Nurse Practitioner in Plainfield, IL · enumerated 2020 · practices at Park Dental Group, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194355685

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jerry Shelby

Credential NP

Sex Male

Practice address 24047 W Lockport St, Plainfield, IL, 60544

Phone (815) 201-0573

Fax (815) 513-6178

Enumeration date Jan 23, 2020

Last updated in NPPES Oct 1, 2025

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209020743 (IL) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1194355685 active?

Yes, as of the latest NPPES snapshot, NPI 1194355685 is active (record last updated 2025-10-01).

How do I verify Jerry Shelby's NPI record?

Cross-check NPI 1194355685 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Park Dental Group, Inc Dentist · Plainfield, IL NPI 1588986418 Brian Hazard Mental Health Counselor · Plainfield, IL NPI 1831795863

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-01.