Mrs Shannon Mullis, CNP - Medicare Nurse Practitioner in Hamilton, OH

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Mrs Shannon Mullis, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Hamilton, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Exceptional Care Services Llc and her current practice location is 1302 Millville Ave, Hamilton, Ohio. You can reach out to her office (for appointments etc.) via phone at (731) 394-1145.

Mrs Shannon Mullis is licensed to practice in Ohio (license number APRN.CNP.16422) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750781514.

Contact Information

Mrs Shannon Mullis, CNP
1302 Millville Ave,
Hamilton, OH 45013-3961
(731) 394-1145
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shannon Mullis
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1302 Millville Ave, Hamilton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shannon Mullis attended and graduated from University Of Cincinnati College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1750781514
  • Provider Enumeration Date: 08/29/2014
  • Last Update Date: 08/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678817061
  • Enrollment ID: I20181212001767

Medical Identifiers

Medical identifiers for Mrs Shannon Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750781514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 3008903 (Kentucky)Secondary
363LG0600XNurse Practitioner - Gerontology APRN.CNP.16422 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Exceptional Care Services Llc579917574121

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shannon Mullis allows following entities to bill medicare on her behalf.
Entity NameCarebridge Palliative Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831423334
PECOS PAC ID: 0446392138
Enrollment ID: O20100119000176
Entity NameDelhi Internal Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578071080
PECOS PAC ID: 8426308107
Enrollment ID: O20180829003328
Entity NameExceptional Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245900794
PECOS PAC ID: 5799175741
Enrollment ID: O20221021001400
Entity NameProvider Partners Care Management Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013348028
PECOS PAC ID: 9335379270
Enrollment ID: O20240411002117

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Mullis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shannon Mullis, CNP
36 Pemberton Cv,
Jackson, TN 38305-5514

Ph: (731) 394-1145		Mrs Shannon Mullis, CNP
1302 Millville Ave,
Hamilton, OH 45013-3961

Ph: (731) 394-1145

Reviews and Comments


Nurse Practitioner Nurses in Hamilton, OH

Joann Miniard,
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Phone: 513-284-9904    
Tamara Grace Adams, N.P.
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Phone: 513-603-8200    Fax: 513-981-4226
Geraldine Thomas, NP
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Julie Michelle Treadway, CNP
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Practice Location: 210 S 2nd St, Hamilton, OH 45011
Phone: 513-454-1111    
Heather Cypher, CNP
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Medicare: Medicare Enrolled
Practice Location: 3103 Dixie Hwy, Hamilton, OH 45015
Phone: 513-892-4673    
Lauren A Cash, FNP
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Phone: 513-344-9744    
Polly S Vaughan, CRNP
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Practice Location: 630 Eaton Ave # 2w, Hamilton, OH 45013
Phone: 513-867-2433    Fax: 513-867-2499

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.