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Shannon D Moats , RDN, LDN

Dietitian, Registered β€’ Springfield, IL

Active NPI 1760168355 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1025 S 6th St
Springfield, IL 627032403

Call 2175287541 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1025 S 6th St

Springfield, IL 627032403

Telephone 2175287541
Organization at the Same NPPES Address or Phone
Springfield Clinic, Llp Facility NPI 1780638478

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shannon Moats has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Springfield and Illinois

60 active clinicians are listed under Dietitian, Registered with a practice address in Springfield, IL (2,870 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 60 clinicians have the CMS telehealth indicator.

20% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-10
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES IL 164.008428

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20230728001523

Enrollment State Jurisdiction

IL

PECOS Control ID

4183085749

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
Taylor Cook , APRN

Nurse Practitioner - Family

NPI 1063085645

Advanced Practice Registered Nurse

Dr. Madhu Dukkipati , MD

Internal Medicine - Interventional Cardiology

NPI 1063436715

Doctor of Medicine (M.D.)

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Delores Gallo , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013984889

Certified Registered Nurse Anesthetist

NPI 1013126317
Carol Harper , PA-C

Physician Assistant

NPI 1013008796

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated November 10, 2025

Recorded as SHANNON MOATS, RDN, LDN

πŸ‘€
Provider Name / Credentials Updated October 23, 2025

Recorded as SHANNON MOAT, RDN, LDN

βœ…
NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 27, 2023

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

πŸ“
Business Mailing Address (Initial Record) June 27, 2023

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

πŸ‘€
Provider Name / Credentials (Initial Record) June 27, 2023

Recorded as SHANNON GRAY, RDN, LDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Dietitian, Registered (license number reported to NPPES: IL 164.008428)

🟒
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760168355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: November 10, 2025
Sole Proprietor: No

Other Dietitian, Registereds in Springfield

All Dietitian, Registereds in Springfield

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.