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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 04, 2018PECOS Enrolled

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: July 19, 2026.

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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.

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

Phone(217) 994-1485

Sole ProprietorYes

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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shambra Cullum Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.