MADISON SHANKS BUNDRUM
NPI 1154927218
Nurse Practitioner - Family in Oxford, AL

Active since December 04, 2020PECOS Enrolled

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2023, Dec 4, 2020 (2 updates tracked since 2020).

About Madison Shanks Bundrum NPPES

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

MADISON SHANKS BUNDRUM (NPI 1154927218) is an individual family provider in Oxford, Alabama, licensed in Alabama (1-171297) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1154927218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISON SHANKS BUNDRUM
Location Address912 SNOW STOxford, AL 36203-1214
Mailing Address379 Barrington CirAlexandria, AL 36250-7216 · (256) 282-0002
Sole ProprietorYes
Enumeration DateDecember 4, 2020
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1154927218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-171297
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-171297 (AL)
912 SNOW ST, Oxford, AL 36203

Secondary Practice Location 1

Location 11802 6th Ave SBirmingham, AL 35233-1932 · Phone (205) 975-7766

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Shanks Bundrum 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.

Medicare Billing Reassignment

Medicare enrollment records show Madison Bundrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
912 SNOW ST
Oxford, AL 36203
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36203 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 10

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

Family Medicine
912 SNOW ST, SUITE B
OXFORD, AL 36203
Nurse Practitioner (Gerontology)
912 SNOW ST
OXFORD, AL 36203
Allergy & Immunology
912 SNOW ST
OXFORD, AL 36203
Allergy & Immunology
912 SNOW ST
OXFORD, AL 36203
Nurse Practitioner (Family)
912 SNOW ST
OXFORD, AL 36203
Nurse Practitioner
912 SNOW ST
OXFORD, AL 36203
Nurse Practitioner (Family)
912 SNOW ST
OXFORD, AL 36203
Nurse Practitioner (Family)
912 SNOW ST
OXFORD, AL 36203

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 Madison Bundrum's NPI number?

The NPI number for Madison Bundrum is 1154927218. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Where is Madison Bundrum located?

Madison Bundrum practices at 912 Snow St, Oxford, AL 36203. The listed phone number is (256) 237-1001.

What is Madison Bundrum's specialty?

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

Is Madison Bundrum enrolled in Medicare?

Yes. Madison Bundrum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Bundrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Bundrum reassigns Medicare benefits to Eloubeidi Gastroenterology And Associates Inc (Oxford, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Bundrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Bundrum accept?

Health plans from UnitedHealthcare list Madison Bundrum 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 Madison Bundrum was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.