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KONICA SHANNON MCMULLEN DNP
NPI 1184352296
Nurse Practitioner - Family in Bessemer, AL

Active since August 08, 2022PECOS Enrolled
1769 MOSS ROSE DR, BESSEMER, AL 35022(205) 310-2600(205) 236-1724 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2023, Aug 8, 2022 (2 updates tracked since 2022).

About Konica Shannon Mcmullen Dnp NPPES

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

KONICA SHANNON MCMULLEN DNP (NPI 1184352296) is an individual family provider in Bessemer, Alabama, licensed in Alabama (1-093551) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184352296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKONICA SHANNON MCMULLENCredential: DNP
Location Address1769 MOSS ROSE DRBessemer, AL 35022-8340
Mailing Address1769 Moss Rose DrBessemer, AL 35022-8340 · (205) 310-2600 · Fax (205) 236-1724
Phone(205) 310-2600
Fax(205) 236-1724
Sole ProprietorNo
Enumeration DateAugust 8, 2022
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1184352296 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 AL · 1-093551
1769 MOSS ROSE DR, Bessemer, AL 35022
Open in Google Maps ↗

Other Identifiers 2

Other512-90226AL · Bcbs-al
Medicaid299342AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Konica Shannon Mcmullen Dnp 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 Reassignments

3

Medicare enrollment records show Konica Mcmullen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Birmingham Internal Medicine Associates, LLC
19 mi
Internal Medicine
7191 CAHABA VALLEY RD, SUITE 300
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • 166 clinicians in this Medicare group
NPI 1598796542 (205) 930-2060
Summit Physician Group LLP
33 mi
Family Medicine
657 HELEN KELLER BLVD
Tuscaloosa, AL 35404
  • Reassigned Medicare billing, Alabama enrollment
  • 24 clinicians in this Medicare group
NPI 1104343581 (205) 343-6979
Signify Health, LLC
572 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 35022 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.

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 Konica Mcmullen's NPI number?

The NPI number for Konica Mcmullen is 1184352296. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Konica Mcmullen located?

Konica Mcmullen practices at 1769 Moss Rose Dr, Bessemer, AL 35022. The listed phone number is (205) 310-2600.

What is Konica Mcmullen's specialty?

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

Is Konica Mcmullen enrolled in Medicare?

Yes. Konica Mcmullen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Konica Mcmullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Konica Mcmullen reassigns Medicare benefits to 3 organizations: Birmingham Internal Medicine Associates, LLC (Birmingham, AL), Summit Physician Group LLP (Tuscaloosa, AL) and Signify Health, LLC (Dallas, TX). Each 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 Konica Mcmullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Konica Mcmullen was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.