MADISON SHANKS BUNDRUM – Family Nurse Practitioner, NPI 1154927218
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MADISON SHANKS BUNDRUM
379 BARRINGTON CIR
ALEXANDRIA, AL 362507216
Phone: (256) 282-0002
Type: Mailing
912 SNOW ST
OXFORD, AL 362031214
Phone: (256) 237-1001
Type: Location
1610 STURKIETOWN RD
SOUTHSIDE, AL 359070704
Phone: (256) 282-0002
Type: Mailing
1802 6th Ave S
Birmingham, AL 352331932
Phone: (205) 975-7766
Type: Location
1802 6TH AVE S
BIRMINGHAM, AL 352331932
Phone: (205) 975-7766
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $2,602.
Total Amount is formed as General ($2,602) + Research ($0) + Ownership ($0) = $2,602.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($537).
Total Amount
$2,602
General + Research + Ownership
Payments
165
Total payment records
General Amount
$2,602
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $537 |
| ABBVIE INC. | $503 |
| Ardelyx, Inc. | $395 |
| Phathom Pharmaceuticals, Inc. | $137 |
| QOL Medical, LLC | $133 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230823003739 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36250)
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Reviews
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