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SHAWANNA BRUN ARNP-BC
NPI 1891496428
Nurse Practitioner - Adult Health in Snellville, GA

Active since March 10, 2023PECOS Enrolled
4097 STACY LN, SNELLVILLE, GA 30039(850) 933-0768 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Shawanna Brun Arnp-bc NPPES

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

SHAWANNA BRUN ARNP-BC (NPI 1891496428) is an individual adult health provider in Snellville, Georgia, licensed in Georgia (128792) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891496428
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHAWANNA BRUNCredential: ARNP-BC
Location Address4097 STACY LNSnellville, GA 30039-6199
Mailing Address4097 Stacy LnSnellville, GA 30039-6199 · (850) 933-0768
Phone(850) 933-0768
Sole ProprietorYes
Enumeration DateMarch 10, 2023
NPPES CertifiedMarch 10, 2023
✔ NPI 1891496428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · 128792
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 128792 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 128792 (GA)
4097 STACY LN, Snellville, GA 30039
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawanna Brun Arnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30039 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Shawanna Brun's NPI number?

The NPI number for Shawanna Brun is 1891496428. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Shawanna Brun located?

Shawanna Brun practices at 4097 Stacy Ln, Snellville, GA 30039. The listed phone number is (850) 933-0768.

What is Shawanna Brun's specialty?

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

Is Shawanna Brun enrolled in Medicare?

Yes. Shawanna Brun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawanna Brun was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.