MRS. FAWN SHELLEY MUMBULO FNP-C
NPI 1720493984
Nurse Practitioner - Family in Cooperstown, NY
About Mrs. Fawn Shelley Mumbulo Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. FAWN SHELLEY MUMBULO FNP-C (NPI 1720493984) is an individual family provider in Cooperstown, New York, licensed in New York (F338835-1) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and maintains a secondary practice location in Sherburne.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Fawn Shelley Mumbulo Fnp-c 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chenango Memorial Hospital
Acute Care Hospitals · Norwich, NYAurelia Osborn Fox Memorial Hospital
Acute Care Hospitals · Oneonta, NYBassett Healthcare
Acute Care Hospitals · Cooperstown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13326 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Fawn Mumbulo's NPI number?
The NPI number for Fawn Mumbulo is 1720493984. It was assigned to this individual provider in the NPPES registry on June 26, 2014.
Where is Fawn Mumbulo located?
Fawn Mumbulo practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3480.
What is Fawn Mumbulo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Fawn Mumbulo enrolled in Medicare?
Yes. Fawn Mumbulo 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.
Is Fawn Mumbulo affiliated with any hospitals?
According to CMS data, Fawn Mumbulo is affiliated with Chenango Memorial Hospital, Aurelia Osborn Fox Memorial Hospital and Bassett Healthcare.
When was this NPI record last updated?
The NPPES record for Fawn Mumbulo was last updated on April 3, 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.
# Mrs. Fawn Shelley Mumbulo, FNP-C · NPI 1720493984
Family physician in Cooperstown, New York. Individual provider, active in the CMS NPPES registry since June 26, 2014.
## Identity
- **NPI:** 1720493984 (Entity type: Individual)
- **Enumerated:** June 26, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F338835-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 ATWELL RD, Cooperstown, NY 13326-1394
- **Phone:** (607) 547-3480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720493984) · Data from the CMS NPPES public registry.