SHANNON KELLUM NP
NPI 1568065027
Nurse Practitioner - Acute Care in Eupora, MS

Q: What is Shannon Kellum's NPI number?

The NPI number for Shannon Kellum is 1568065027. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Q: What is Shannon Kellum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Kellum was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since November 18, 2020PECOS EnrolledAccepts Medicare Assignment

1301 VETERANS MEMORIAL BLVD, EUPORA, MS 39744(662) 258-7200 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Nov 18, 2020 (2 updates tracked since 2020).

On this page

About Shannon Kellum Np NPPES

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

SHANNON KELLUM NP (NPI 1568065027) is an individual acute care provider in Eupora, Mississippi, licensed in Mississippi (904206) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Webster General Hospital/ Swing Bed, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568065027

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSHANNON KELLUMCredential: NP

Location Address1301 VETERANS MEMORIAL BLVDEupora, MS 39744-2064

Mailing Address1238 Turner RdMaben, MS 39750-9141 · (662) 418-6708

Phone(662) 258-7200

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 18, 2020

Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1568065027 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 MS · 904206

1301 VETERANS MEMORIAL BLVD, Eupora, MS 39744

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Kellum 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 ID4183035975

PECOS Enrollment IDI20201130002580

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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

149 services133 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

140 services124 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

131 services123 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

19 services19 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Webster General Hospital/ Swing Bed

Acute Care Hospitals · Eupora, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250020

Location70 Medical PlazaEupora, MS 39744 · Webster County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39744 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 9

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

CHARLES OZBORN MD

Family Medicine