SHANNON MILLER ULLMAN APRN-CNP
NPI 1871102277
Nurse Practitioner - Family in Clarksburg, WV

Active since July 31, 2020PECOS EnrolledAccepts Medicare Assignment
489 WASHINGTON AVE, CLARKSBURG, WV 26301(304) 622-2708 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2020, Jul 31, 2020 (2 updates tracked since 2020).

About Shannon Miller Ullman Aprn-cnp NPPES

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

SHANNON MILLER ULLMAN APRN-CNP (NPI 1871102277) is an individual family provider in Clarksburg, West Virginia, licensed in West Virginia (106952) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871102277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MILLER ULLMANCredential: APRN-CNP
Location Address489 WASHINGTON AVEClarksburg, WV 26301-2825
Mailing Address13 Eastern TrlMorgantown, WV 26508-5991 · (845) 863-5504
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 31, 2020
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1871102277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 106952
489 WASHINGTON AVE, Clarksburg, WV 26301

Other Names 1

Former Name (1)Shannon Keats Miller

Accepted 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 Miller Ullman Aprn-cnp 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 ID6406217785
PECOS Enrollment IDI20230802004055
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 2

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 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.
608 services414 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 3

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

Pharmacy (Clinic Pharmacy)
489 WASHINGTON AVE
CLARKSBURG, WV 26301
Nurse Practitioner (Adult Health)
489 WASHINGTON AVE
CLARKSBURG, WV 26301
Nurse Practitioner (Primary Care)
489 WASHINGTON AVE
CLARKSBURG, WV 26301

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 Ullman's NPI number?

The NPI number for Shannon Ullman is 1871102277. It was assigned to this individual provider in the NPPES registry on July 31, 2020. The provider is also known as Shannon Keats Miller.

Where is Shannon Ullman located?

Shannon Ullman practices at 489 Washington Ave, Clarksburg, WV 26301. The listed phone number is (304) 622-2708.

What is Shannon Ullman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Ullman enrolled in Medicare?

Yes. Shannon Ullman 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 Ullman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shannon Ullman 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 Ullman affiliated with any hospitals?

According to CMS data, Shannon Ullman is affiliated with Marietta Memorial Hospital, Camden Clark Medical Center and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Ullman was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.