1. Home
  2. Directory
  3. Virginia
  4. Abingdon
  5. Nurse Practitioner
  6. NPI Profile

SHANNON FULLEN-ROBERTS
NPI 1245645118
Nurse Practitioner - Family in Abingdon, VA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
16000 JOHNSTON MEMORIAL DR, SUITE 212A, ABINGDON, VA 24211(276) 258-3740(276) 258-3745 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shannon Fullen-roberts NPPES

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

SHANNON FULLEN-ROBERTS (NPI 1245645118) is an individual family provider in Abingdon, Virginia, licensed in Virginia (0024171744) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1245645118
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON FULLEN-ROBERTS
Location Address16000 JOHNSTON MEMORIAL DR, SUITE 212AAbingdon, VA 24211-7664
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(276) 258-3740
Fax(276) 258-3745
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 30, 2014
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1245645118 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
Licenses✔ Licensed in VA · 0024171744✔ Licensed in TN · 25249
16000 JOHNSTON MEMORIAL DR, Abingdon, VA 24211
Open in Google Maps ↗

Secondary Practice Locations 7

Location 12202 N John B Dennis Hwy Ste 110Kingsport, TN 37660-5904 · Phone (423) 578-8400
Location 298 15th St NW Ste 207Norton, VA 24273-1600 · Phone (276) 439-1490
Location 32000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000
Location 41 Medical Park Blvd Ste 210EBristol, TN 37620-7468 · Phone (423) 844-5500
Location 5130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000
Location 61 Medical Park Blvd Ste 3WBristol, TN 37620-7430 · Phone (423) 844-5583
Location 71 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121

Other Identifiers 3

OtherP01696407VA · Railroad Medicare
MedicaidQ024051TN
Medicaid1245645118VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Fullen-roberts 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 ID1951522127
PECOS Enrollment IDI20141101000074
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

5

Medicare enrollment records show Shannon Fullen-roberts reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corp
3.3 mi
Internal Medicine
320 VALLEY ST NE
Abingdon, VA 24210
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
NPI 1295135523 (276) 676-3360
Wellmont Medical Associates, Inc.
15 mi
Internal Medicine
2686 W STATE ST
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1558812198 (423) 844-0026
Wps Providers Inc
34 mi
General Practice
130 W RAVINE RD
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 81 clinicians in this Medicare group
NPI 1003904095 (423) 224-4000
Western Virginia Regional Emergency Physicians, LLC
42 mi
Emergency Medicine
100 15TH ST NW
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
NPI 1386183028 (276) 439-1000
Emergency Coverage Services, PC
316 mi
Nurse Practitioner
1607 S LOCUST AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1053351593 (931) 762-6571

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

Areas of Expertise CMS Part B claims 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
122 services48 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
63 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services33 patients
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.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24211 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers13 claims13 services$68.05 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers14 claims14 services$75.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers38 claims38 services$19.71 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers31 claims31 services$920.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers44 claims44 services$111.54 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers16 claims16 services$29.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ANGELA MARIE COOPER
Pharmacist
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-3050
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Dermatology
16000 JOHNSTON MEMORIAL DR, SUITE 101B
ABINGDON, VA 24211
Washington County (276) 258-1777
DR. JOE RUPE MD
Internal Medicine
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-4050
MISS CATHY ANN HOPKINS PA
Physician Assistant
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-1800
DAVID HUNT SMITH MD
Surgery
16000 JOHNSTON MEMORIAL DR, SUITE 101
ABINGDON, VA 24211
Washington County (276) 258-1777
JOHNSTON MEMORIAL HOSPITAL
General Acute Care Hospital
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-1100
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Urology
16000 JOHNSTON MEMORIAL DR, SUITE 312D
ABINGDON, VA 24211
Washington County (276) 783-5400
DR. BEVERLY TARA SMITH DO
Internal Medicine
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Washington County (276) 258-1000

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 Fullen-roberts's NPI number?

The NPI number for Shannon Fullen-roberts is 1245645118. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Shannon Fullen-roberts located?

Shannon Fullen-roberts practices at 16000 Johnston Memorial Dr Suite 212A, Abingdon, VA 24211. The listed phone number is (276) 258-3740.

What is Shannon Fullen-roberts's specialty?

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

Is Shannon Fullen-roberts enrolled in Medicare?

Yes. Shannon Fullen-roberts 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.

Which organizations bill Medicare for Shannon Fullen-roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fullen-roberts reassigns Medicare benefits to 5 organizations: Blue Ridge Medical Management Corp (Abingdon, VA), Wellmont Medical Associates, Inc. (Bristol, TN), Wps Providers Inc (Kingsport, TN), Western Virginia Regional Emergency Physicians, LLC (Norton, VA) and Emergency Coverage Services, PC (Lawrenceburg, TN). 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 Shannon Fullen-roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Fullen-roberts accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Shannon Fullen-roberts 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.

Is Shannon Fullen-roberts affiliated with any hospitals?

According to CMS data, Shannon Fullen-roberts is affiliated with Wellmont Bristol Regional Medical Center, Smyth County Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Fullen-roberts was last updated on March 13, 2024. 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.