McKenna Ivy Shofroth, RN
General Practice Registered Nurse · Maryville, IL
McKenna Ivy Shofroth, RN is a general practice registered nurse with a practice address in Maryville, Illinois, and NPI 1962158501, issued on Feb 22, 2022. Check the license (Illinois 041521566, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- McKenna Ivy Shofroth
- Credential
- RN
- Primary taxonomy
- General Practice Registered Nurse 163WG0000X
- License number
- 041521566 IL
Self-reported in NPPES; status is on the state search - Practice location
- 20 Professional Park Dr Ste B, Maryville, IL 62062
- Phone
- (618) 288-1480
- Enumerated
- Feb 22, 2022
- Record last updated
- Feb 22, 2022
- Fax
- (888) 718-4696
- Medicaid ID
- 1417916099 IL
- Entity
- Type 1 · individual
Also registered at 20 Professional Park Dr Ste B
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Patrese SchneiderFamily Nurse Practitioner1144061185
- Kayla Wuebbels, FNPFamily Nurse Practitioner1417474511
Verify McKenna Ivy Shofroth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 041521566Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
General Practice Registered Nurse providers in Illinois
There are 90 general practice registered nurse records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other general practice registered nurse records in Illinois
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- Gabrielle AllenChicago, IL1194553453
- Abdul Rahman Aloush, RNSells, IL1891357729
- Mary Pat Ambrosino, RNTinley Park, IL1902916364
- Melanie Anderson, FNP-BCChicago, IL1184559627
- Jennifer AustinHarrisburg, IL1578275905
- Joseph Ayoola, RNFlossmoor, IL1154584951
- Shankar AyyaswamyMount Prospect, IL1366363095
- Jacqueline Baccay, RNNorth Chicago, IL1134817653
Common questions
What is McKenna Ivy Shofroth, RN's NPI number?
McKenna Ivy Shofroth, RN's National Provider Identifier (NPI) is 1962158501, issued on Feb 22, 2022. An NPI identifies a provider in billing; it is not a license.
Where is McKenna Ivy Shofroth, RN located?
The NPPES record lists a practice address at 20 Professional Park Dr Ste B, Maryville, IL, 62062. Phone: (618) 288-1480. Providers update this record themselves, so call before visiting.
How can I verify McKenna Ivy Shofroth, RN's license?
NPPES lists Illinois license number 041521566, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.