SHANNON BAKER HUMMEL PMHNP
NPI 1043959372
Nurse Practitioner - Psychiatric/Mental Health in Cumming, GA

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
5965 PARKWAY NORTH BLVD STE C, CUMMING, GA 30040(770) 886-5700(770) 886-0404 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Jan 6, 2025, Apr 11, 2024 (3 updates tracked since 2024).

About Shannon Baker Hummel Pmhnp NPPES

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

SHANNON BAKER HUMMEL PMHNP (NPI 1043959372) is an individual psychiatric/mental health provider in Cumming, Georgia, licensed in Georgia (APRN-NP139359) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043959372
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON BAKER HUMMELCredential: PMHNP
Location Address5965 PARKWAY NORTH BLVD STE CCumming, GA 30040-1431
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Fax(770) 886-0404
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1043959372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · APRN-NP139359
Also ListedRegistered NurseTaxonomy 163W00000X · License RN139359 (GA)
5965 PARKWAY NORTH BLVD STE C, Cumming, GA 30040

Other Identifiers 1

OtherRN139359GA · Aprn

Accepted Insurance

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

Shannon Baker Hummel Pmhnp 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 ID2769865146
PECOS Enrollment IDI20220817003158
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services21 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
46 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 13

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

Nurse Practitioner (Psychiatric/Mental Health)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Nurse Practitioner (Family)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Psychologist (Clinical)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Nurse Practitioner (Psychiatric/Mental Health)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Clinical Nurse Specialist (Psychiatric/Mental Health)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Nurse Practitioner (Psychiatric/Mental Health)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Counselor (Professional)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040
Counselor (Professional)
5965 PARKWAY NORTH BLVD STE C
CUMMING, GA 30040

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 Shannon Hummel's NPI number?

The NPI number for Shannon Hummel is 1043959372. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Shannon Hummel located?

Shannon Hummel practices at 5965 Parkway North Blvd Ste C, Cumming, GA 30040. The listed phone number is (770) 886-5700.

What is Shannon Hummel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Hummel enrolled in Medicare?

Yes. Shannon Hummel 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.

What insurance does Shannon Hummel accept?

Health plans from Moda Health Plan, Inc. list Shannon Hummel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Hummel was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.