Fawn Shelley Mumbulo, FNP-C
NPI 1720493984ActiveIndividual· Nurse Practitioner, Family· Cooperstown, NY
Nurse Practitioner, Family (FNP-C) with Mary Imogene Bassett Hospital and 1 other group, practicing in Cooperstown, New York. Their prescriptions cost Medicare Part D more than their services did: $512,886 for 2,289 claims, against $20,265 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 3 companies reporting payments in 2025, $150.71 in all, mostly food and beverage. Lists Aurelia Osborn Fox Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1720493984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jun 26, 2014 |
| Last updated in NPPES | Apr 3, 2026 |
| Certified by provider | Apr 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F338835-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 337 across 7 procedure codes |
| Paid by Medicare | $20,265 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,289 · 5,838 30-day fills |
|---|---|
| Patients | 412 |
| Total drug cost | $512,886 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Mary Imogene Bassett HospitalSidney, NY · 763 clinicians
- Chenango Memorial Hospital IncSidney, NY · 111 clinicians
Hospital affiliations
- Aurelia Osborn Fox Memorial HospitalOneonta, NY
- Bassett HealthcareCooperstown, NY
- Chenango Memorial HospitalNorwich, NY
Industry payments (Open Payments)
- 2025$150.71 · 8 payments from 3 companies
- 2024$114.08 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $99.89 | 5 |
| Pfizer Inc. | $31.55 | 2 |
| Amgen Inc. | $19.27 | 1 |
What the 2025 payments were for
- Food and Beverage$150.71 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 67 family nurse practitioners in Cooperstown · All family nurse practitioners in New York