MS. PHYLLIS SHANYISA SHILULI
NPI 1336741982
Nurse Practitioner - Family in Atlanta, GA
About Ms. Phyllis Shanyisa Shiluli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. PHYLLIS SHANYISA SHILULI (NPI 1336741982) is an individual family provider in Atlanta, Georgia, licensed in Georgia (F05180369) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Phyllis Shanyisa Shiluli 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
2Medicare enrollment records show Phyllis Shiluli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edna Bay, AK 99901
- Reassigned Medicare billing, Texas enrollment
- 640 clinicians in this Medicare group
Nome, AK 99762
- Reassigned Medicare billing, Alaska enrollment
- Also billed through NPI 1225101041 (Alaska)
- 193 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 30339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Phyllis Shiluli's NPI number?
The NPI number for Phyllis Shiluli is 1336741982. It was assigned to this individual provider in the NPPES registry on November 9, 2020.
Where is Phyllis Shiluli located?
Phyllis Shiluli practices at 3100 Sugarberry Ln, Atlanta, GA 30339. The listed phone number is (770) 843-0504.
What is Phyllis Shiluli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Phyllis Shiluli enrolled in Medicare?
Yes. Phyllis Shiluli 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 Phyllis Shiluli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Shiluli reassigns Medicare benefits to 2 organizations: Southeast Alaska Regional Health Consortium (Edna Bay, AK) and Norton Sound Health Corporation (Nome, AK). 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 Phyllis Shiluli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phyllis Shiluli accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Phyllis Shiluli 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 Phyllis Shiluli was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Phyllis Shanyisa Shiluli · NPI 1336741982
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since November 9, 2020.
## Identity
- **NPI:** 1336741982 (Entity type: Individual)
- **Enumerated:** November 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F05180369 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3100 SUGARBERRY LN, Atlanta, GA 30339-8567
- **Phone:** (770) 843-0504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southeast Alaska Regional Health Consortium (NPI 1518403906, Edna Bay, AK); Norton Sound Health Corporation (NPI 1154358232, Nome, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1336741982) · Data from the CMS NPPES public registry.