MS. SHAMBRA CULLUM APN
NPI 1033615463
Nurse Practitioner - Family in O Fallon, IL

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(217) 994-1485 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shambra Cullum Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHAMBRA CULLUM APN (NPI 1033615463) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209016520) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033615463
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHAMBRA CULLUMCredential: APN
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address1 Saint Elizabeth BlvdO Fallon, IL 62269-1099 · (217) 994-1485
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 4, 2018
NPI 1033615463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209016520
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Shambra Cullum Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062848419
PECOS Enrollment IDI20200204001310
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
38 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Obstetrics & Gynecology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shambra Cullum's NPI number?

The NPI number for Shambra Cullum is 1033615463. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Shambra Cullum located?

Shambra Cullum practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (217) 994-1485.

What is Shambra Cullum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shambra Cullum enrolled in Medicare?

Yes. Shambra Cullum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shambra Cullum was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.