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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.