LILLIAN SHADE SHAFFER MMS, PA-C
NPI 1154075752
Physician Assistant - Medical in Cullman, AL

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
99.56/100
CMS Quality Rating
117 2ND AVE SE, CULLMAN, AL 35055(256) 291-8877(256) 500-9311 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2025, Feb 11, 2022 (2 updates tracked since 2022).

About Lillian Shade Shaffer Mms, Pa-c NPPES

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

LILLIAN SHADE SHAFFER MMS, PA-C (NPI 1154075752) is an individual medical provider in Cullman, Alabama, licensed in Alabama (2600) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154075752
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLILLIAN SHADE SHAFFERCredential: MMS, PA-C
Location Address117 2ND AVE SECullman, AL 35055-3511
Mailing Address2005 Evans Ln NeCullman, AL 35058-2057 · (662) 473-6293
Fax(256) 500-9311
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
Last NPPES UpdateMay 31, 20252 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
NPI 1154075752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AL · 2600
117 2ND AVE SE, Cullman, AL 35055

Other Names 1

Former Name (1)Lillian Shade Epes

Secondary Practice Location 1

Location 13770 Ocoee Pl NWCleveland, TN 37312-5638 · Phone (423) 250-5551 · Fax (423) 250-5556

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

Lillian Shade Shaffer Mms, Pa-c 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 ID244606325
PECOS Enrollment IDI20250603003337
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.12
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
117 2ND AVE SE
CULLMAN, AL 35055
Internal Medicine
117 2ND AVE SE
CULLMAN, AL 35055
Internal Medicine
117 2ND AVE SE
CULLMAN, AL 35055
Internal Medicine (Rheumatology)
117 2ND AVE SE
CULLMAN, AL 35055
Family Medicine
117 2ND AVE SE
CULLMAN, AL 35055
Nurse Practitioner
117 2ND AVE SE
CULLMAN, AL 35055
Registered Nurse
117 2ND AVE SE
CULLMAN, AL 35055
Nurse Practitioner (Family)
117 2ND AVE SE
CULLMAN, AL 35055

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 Lillian Shaffer's NPI number?

The NPI number for Lillian Shaffer is 1154075752. It was assigned to this individual provider in the NPPES registry on February 11, 2022. The provider is also known as Lillian Shade Epes.

Where is Lillian Shaffer located?

Lillian Shaffer practices at 117 2nd Ave SE, Cullman, AL 35055. The listed phone number is (256) 291-8877.

What is Lillian Shaffer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lillian Shaffer enrolled in Medicare?

Yes. Lillian Shaffer 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 Lillian Shaffer accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Lillian Shaffer 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 Lillian Shaffer was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.