Shannon Fullen-roberts, - Medicare Nurse Practitioner in Abingdon, VA

  1. Home
  2. Nurse Practitioner
  3. VA
  4. Abingdon
Shannon Fullen-roberts, is a medicare enrolled "Nurse Practitioner - Family" in Abingdon, Virginia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Ridge Medical Management Corporation, Wps Providers Inc and her current practice location is 16000 Johnston Memorial Dr, Suite 212a, Abingdon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 258-3740.

Shannon Fullen-roberts is licensed to practice in Virginia (license number 0024171744) 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 1245645118.

Contact Information

Shannon Fullen-roberts,
16000 Johnston Memorial Dr, Suite 212a,
Abingdon, VA 24211-7664
(276) 258-3740
(276) 258-3745

Map and Direction




Provider's Profile

Full NameShannon Fullen-roberts
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location16000 Johnston Memorial Dr, Abingdon, Virginia
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:
  • Shannon Fullen-roberts graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1245645118
  • Provider Enumeration Date: 06/30/2014
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951522127
  • Enrollment ID: I20141101000074

Medical Identifiers

Medical identifiers for Shannon Fullen-roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245645118NPI-NPPES
P01696407OtherVARAILROAD MEDICARE
Q024051MedicaidTN
1245645118MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 25249 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 0024171744 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnston Memorial HospitalAbingdon, VAHospital
Smyth County Community HospitalMarion, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Medical Management Corporation9739099441280
Wps Providers Inc771907953267

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. Shannon Fullen-roberts allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336
Entity NameEmergency Coverage Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20061003000679
Entity NameAppalachian Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487963781
PECOS PAC ID: 6901099639
Enrollment ID: O20110120000558
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467
Entity NameWps Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003904095
PECOS PAC ID: 7719079532
Enrollment ID: O20170227002082
Entity NameWestern Virginia Regional Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386183028
PECOS PAC ID: 4183991227
Enrollment ID: O20170522001368

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. Shannon Fullen-roberts 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
Shannon Fullen-roberts,
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Shannon Fullen-roberts,
16000 Johnston Memorial Dr, Suite 212a,
Abingdon, VA 24211-7664

Ph: (276) 258-3740

Reviews and Comments


Nurse Practitioner Nurses in Abingdon, VA

Chesley Stanley, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 607 Campus Dr, Abingdon, VA 24210
Phone: 276-525-4603    
Matthew J Sykes, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 East Valley Street, Abingdon, VA 24210
Phone: 276-628-7600    Fax: 276-628-2629
Dr. Courtney Neel Rogers, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16000 Johnston Memorial Dr Ste 213, Abingdon, VA 24211
Phone: 276-258-2600    
Virginia A. Thurston, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 613 Campus Dr, Suite 200, Abingdon, VA 24210
Phone: 276-628-1186    Fax: 276-628-8507
Rebekah Christine Davis, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 631 Campus Dr, Abingdon, VA 24210
Phone: 276-676-3870    Fax: 276-628-8927
Mrs. Lora Diane Reynolds, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16000 Johnston Memorial Dr, Suite 313, Abingdon, VA 24211
Phone: 276-258-3780    Fax: 276-258-3776
Dr. Diana Michelle Oakes, DNP FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16000 Johnston Memorial Dr Ste 312c, Abingdon, VA 24211
Phone: 276-258-1000    

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.