SHANNON KELLUM NP
NPI 1568065027
Nurse Practitioner - Acute Care in Eupora, MS
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 (2022).
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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Shannon Kellum reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eupora, MS 39744
- Reassigned Medicare billing, Mississippi enrollment
- 72 clinicians in this Medicare group
Eupora, MS 39744
- Reassigned Medicare billing, Mississippi enrollment
- 6 clinicians in this Medicare group
Starkville, MS 39759
- Reassigned Medicare billing, Mississippi enrollment
- 49 clinicians in this Medicare group
West Point, MS 39773
- Reassigned Medicare billing, Mississippi enrollment
- 103 clinicians in this Medicare group
West Point, MS 39773
- Reassigned Medicare billing, Mississippi enrollment
- 53 clinicians in this Medicare group
Pontotoc, MS 38863
- Reassigned Medicare billing, Mississippi enrollment
- 44 clinicians in this Medicare group
Amory, MS 38821
- Reassigned Medicare billing, Mississippi enrollment
- 107 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 108 clinicians in this Medicare group
Gulf Breeze, FL 32561
- Reassigned Medicare billing, Florida enrollment
- 119 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 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.
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, MSPhysician 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EUPORA, MS 39744
EUPORA, MS 39744
EUPORA, MS 39744
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 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.
Where is Shannon Kellum located?
Shannon Kellum practices at 1301 Veterans Memorial Blvd, Eupora, MS 39744. The listed phone number is (662) 258-7200.
What is Shannon Kellum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Shannon Kellum enrolled in Medicare?
Yes. Shannon Kellum 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 Kellum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kellum reassigns Medicare benefits to 9 organizations: Webster Health Services, Inc. (Eupora, MS), Cain Clinic Of Eupora (Eupora, MS), Rh Emergency Medicine Of Och Regional LLC (Starkville, MS), Relias Emergency Medicine Specialists Of West Point, LLC (West Point, MS), Relias Hospitalist Medicine Specialists Of West Point LLC (West Point, MS) and 4 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 Kellum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Kellum accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Shannon Kellum 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 Kellum affiliated with any hospitals?
According to CMS data, Shannon Kellum is affiliated with Webster General Hospital/ Swing Bed.
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 8 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.
# Shannon Kellum, NP · NPI 1568065027
Acute Care physician in Eupora, Mississippi. Individual provider, active in the CMS NPPES registry since November 18, 2020.
## Identity
- **NPI:** 1568065027 (Entity type: Individual)
- **Enumerated:** November 18, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 904206 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1301 VETERANS MEMORIAL BLVD, Eupora, MS 39744-2064
- **Phone:** (662) 258-7200
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Webster Health Services, Inc. (NPI 1881526192, Eupora, MS); Cain Clinic Of Eupora (NPI 1205180882, Eupora, MS); Rh Emergency Medicine Of Och Regional LLC (NPI 1093532889, Starkville, MS); Relias Emergency Medicine Specialists Of West Point, LLC (NPI 1275172736, West Point, MS); Relias Hospitalist Medicine Specialists Of West Point LLC (NPI 1821638578, West Point, MS); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568065027) · Data from the CMS NPPES public registry.