SHANNON KOLUPAEVA RN
NPI 1255968954
Nurse Anesthetist, Certified Registered in Birmingham, AL
About Shannon Kolupaeva Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON KOLUPAEVA RN (NPI 1255968954) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Idaho (64423) and active in the NPI registry since March 2020. She is affiliated with Billings Clinic and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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 Kolupaeva Rn 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.
Medicare Billing Reassignments
8Medicare enrollment records show Shannon Kolupaeva reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hulett, WY 82720
- Reassigned Medicare billing, Wyoming enrollment
- 285 clinicians in this Medicare group
Miles City, MT 59301
- Reassigned Medicare billing, Montana enrollment
- 1,264 clinicians in this Medicare group
Gardiner, MT 59030
- Reassigned Medicare billing, Montana enrollment
- 96 clinicians in this Medicare group
Bozeman, MT 59715
- Reassigned Medicare billing, Montana enrollment
- 5 clinicians in this Medicare group
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 233 clinicians in this Medicare group
Fallon, NV 89406
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: Lifelinc Anesthesia Nevada PC
- 13 clinicians in this Medicare group
Carson City, NV 89703
- Reassigned Medicare billing, Nevada enrollment
- 18 clinicians in this Medicare group
Reno, NV 89502
- Reassigned Medicare billing, Nevada enrollment
- 59 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Billings Clinic
Acute Care Hospitals · Billings, MTLivingston Healthcare
Critical Access Hospitals · Livingston, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BIRMINGHAM, AL 35229
BIRMINGHAM, AL 35229
BIRMINGHAM, AL 35229
BIRMINGHAM, AL 35229
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 Kolupaeva's NPI number?
The NPI number for Shannon Kolupaeva is 1255968954. It was assigned to this individual provider in the NPPES registry on March 24, 2020. The provider is also known as Shannon Enloe.
Where is Shannon Kolupaeva located?
Shannon Kolupaeva practices at 800 Lakeshore Dr, Birmingham, AL 35229. The listed phone number is (775) 560-8000.
What is Shannon Kolupaeva's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shannon Kolupaeva enrolled in Medicare?
Yes. Shannon Kolupaeva 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 Kolupaeva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kolupaeva reassigns Medicare benefits to 8 organizations: Campbell County Hospital District (Hulett, WY), Billings Clinic (Miles City, MT), Livingston Healthcare (Gardiner, MT), Starlyn Green Inc. (Bozeman, MT), Anesthesia Associates Of Boise, P.A. (Boise, ID) and 3 more organizations, listed in the Medicare section above. 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 Kolupaeva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Kolupaeva accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Montana list Shannon Kolupaeva 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 Kolupaeva affiliated with any hospitals?
According to CMS data, Shannon Kolupaeva is affiliated with Billings Clinic and Livingston Healthcare.
When was this NPI record last updated?
The NPPES record for Shannon Kolupaeva was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shannon Kolupaeva, RN · NPI 1255968954
Nurse Anesthetist, Certified Registered physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1255968954 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 64423 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 LAKESHORE DR, Birmingham, AL 35229-0002
- **Phone:** (775) 560-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Campbell County Hospital District (NPI 1750047031, Hulett, WY); Billings Clinic (NPI 1427194836, Miles City, MT); Livingston Healthcare (NPI 1225670375, Gardiner, MT); Starlyn Green Inc. (NPI 1811293764, Bozeman, MT); Anesthesia Associates Of Boise, P.A. (NPI 1033147467, Boise, ID); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 2, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1255968954) · Data from the CMS NPPES public registry.