SHOLANDA D HOOPER NP
NPI 1437669751
Nurse Practitioner in Birmingham, AL

Active since October 02, 2017PECOS EnrolledAccepts Medicare Assignment
78.35/100
CMS Quality Rating
3980 COLONNADE PKWY, BIRMINGHAM, AL 35243(205) 510-5000(205) 599-6333 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2024, Jun 7, 2022 (2 updates tracked since 2022).

About Sholanda D Hooper Np NPPES

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

SHOLANDA D HOOPER NP (NPI 1437669751) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-133947) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Musc Health Columbia Medical Center Downtown, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1437669751
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHOLANDA D HOOPERCredential: NP
Location Address3980 COLONNADE PKWYBirmingham, AL 35243-2382
Mailing AddressPo Box 11407Birmingham, AL 35202-1407 · (205) 715-5198 · Fax (205) 715-5932
Fax(205) 599-6333
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 2, 2017
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1437669751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-133947
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN226769 (GA), 1-133947 (AL)
3980 COLONNADE PKWY, Birmingham, AL 35243

Secondary Practice Location 1

Location 1200 S Enota Dr NE Ste 100Gainesville, GA 30501-3466 · Phone (770) 534-2020

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

Sholanda D Hooper Np 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 ID2062766017
PECOS Enrollment IDI20181112000439
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

4

Medicare enrollment records show Sholanda Hooper reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
3000 CAHABA VILLAGE PLZ STE 110
Mountain Brk, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Family Medicine
320 COOSA ST E
Talladega, AL 35160
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
Urgent Care
2415 MOORES MILL RD, SUITE 230
Auburn, AL 36830
  • Reassigned Medicare billing, Alabama enrollment
  • 94 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 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.

Areas of Expertise CMS Part B claims 3

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 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.
577 services559 patients
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.
56 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services27 patients

Hospital Affiliations CMS Care Compare

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

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.17
Promoting Interoperability89
Improvement Activities40
Cost60.82

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.

Nurse Practitioner (Acute Care)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Registered Nurse
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Internal Medicine (Clinical Cardiac Electrophysiology)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Internal Medicine (Cardiovascular Disease)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Nurse Practitioner
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Internal Medicine (Cardiovascular Disease)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243

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 Sholanda Hooper's NPI number?

The NPI number for Sholanda Hooper is 1437669751. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Sholanda Hooper located?

Sholanda Hooper practices at 3980 Colonnade Pkwy, Birmingham, AL 35243. The listed phone number is (205) 510-5000.

What is Sholanda Hooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sholanda Hooper enrolled in Medicare?

Yes. Sholanda Hooper 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 Sholanda Hooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sholanda Hooper reassigns Medicare benefits to 4 organizations: American Family Care, LLC (Mountain Brk, AL), Baptist Health Centers, LLC (Talladega, AL), Stopwatch Urgent Care Centers LLC (Auburn, AL) and Musc Community Physicians (Bamberg, SC). 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 Sholanda Hooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sholanda Hooper accept?

Health plans from Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of South Carolina, First Choice Next, Oscar Insurance Company and UnitedHealthcare list Sholanda Hooper 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 Sholanda Hooper affiliated with any hospitals?

According to CMS data, Sholanda Hooper is affiliated with Musc Health Columbia Medical Center Downtown.

When was this NPI record last updated?

The NPPES record for Sholanda Hooper was last updated on April 30, 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.