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SHANNON NIKKOLE KEMP
NPI 1497480396
Nurse Practitioner - Acute Care in Helena, AL

Active since July 24, 2022PECOS Enrolled
2690 HAWTHORNE LAKE RD, HELENA, AL 35022(205) 223-5242 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Nikkole Kemp NPPES

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

SHANNON NIKKOLE KEMP (NPI 1497480396) is an individual acute care provider in Helena, Alabama, licensed in Alabama (1-32286) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497480396
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHANNON NIKKOLE KEMP
Location Address2690 HAWTHORNE LAKE RDHelena, AL 35022-7215
Mailing Address2690 Hawthorne Lake RdHelena, AL 35022-7215 · (205) 223-5242
Phone(205) 223-5242
Sole ProprietorNo
Enumeration DateJuly 24, 2022
NPPES CertifiedJuly 24, 2022
✔ NPI 1497480396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-32286
2690 HAWTHORNE LAKE RD, Helena, AL 35022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Nikkole Kemp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Kemp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
127 mi
Internal Medicine
600 W MEMORIAL DR
Dallas, GA 30132
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1063790350 (770) 443-4767
Community Care Health Network LLC
198 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 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 Shannon Kemp's NPI number?

The NPI number for Shannon Kemp is 1497480396. It was assigned to this individual provider in the NPPES registry on July 24, 2022.

Where is Shannon Kemp located?

Shannon Kemp practices at 2690 Hawthorne Lake Rd, Helena, AL 35022. The listed phone number is (205) 223-5242.

What is Shannon Kemp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shannon Kemp enrolled in Medicare?

Yes. Shannon Kemp is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Kemp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kemp reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Dallas, GA) and Community Care Health Network LLC (Nashville, 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 Kemp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Kemp was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.