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SHANNON CORNELL NP
NPI 1679951990
Nurse Practitioner - Adult Health in Sumter, SC

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
73.84/100
CMS Quality Rating
115 N SUMTER ST STE 410, SUMTER, SC 29150(803) 774-9797 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2018, Oct 18, 2018 (2 updates tracked since 2018).

About Shannon Cornell Np NPPES

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

SHANNON CORNELL NP (NPI 1679951990) is an individual adult health provider in Sumter, South Carolina, licensed in South Carolina (22165) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (2014).

NPPES Registry Identity

NPI1679951990
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANNON CORNELLCredential: NP
Location Address115 N SUMTER ST STE 410Sumter, SC 29150-4969
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 774-9797
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2014
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 29, 20182 updates tracked since enumeration
✔ NPI 1679951990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in SC · 22165✔ Licensed in CO · APN.0991755-NP
115 N SUMTER ST STE 410, Sumter, SC 29150
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP5392SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.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 Cornell 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 ID3476867938
PECOS Enrollment IDI20181015002587
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 6

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 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.
247 services149 patients
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.
47 services41 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services31 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.
30 services27 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
23 services23 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

Other Providers at the Same Location NPPES 5

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

MARGARET CONANT BRITT APRN-C
Nurse Practitioner (Family)
115 N SUMTER ST STE 410
SUMTER, SC 29150
Sumter County (803) 774-9797
CAMERON THOMASSON APRN, AGACNP
Nurse Practitioner (Acute Care)
115 N SUMTER ST STE 410
SUMTER, SC 29150
Sumter County (803) 774-9000
DR. WILLIAM S STAVROU MD
Internal Medicine (Cardiovascular Disease)
115 N SUMTER ST STE 410
SUMTER, SC 29150
Sumter County (803) 774-9797
DR. JAIDEEP DEBSIKDAR M.D.
Internal Medicine (Cardiovascular Disease)
115 N SUMTER ST STE 410
SUMTER, SC 29150
Sumter County (803) 774-9797
FRANCIS ROOSEVELT GILLIAM III MD
Internal Medicine (Clinical Cardiac Electrophysiology)
115 N SUMTER ST STE 410
SUMTER, SC 29150
Sumter County (803) 774-9797

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 Cornell's NPI number?

The NPI number for Shannon Cornell is 1679951990. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Shannon Cornell located?

Shannon Cornell practices at 115 N Sumter St Ste 410, Sumter, SC 29150. The listed phone number is (803) 774-9797.

What is Shannon Cornell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Cornell enrolled in Medicare?

Yes. Shannon Cornell 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.

What insurance does Shannon Cornell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and UnitedHealthcare list Shannon Cornell 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 Cornell affiliated with any hospitals?

According to CMS data, Shannon Cornell is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Cornell was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.