MRS. SHANNA LEE CAMPBELL NP
NPI 1013771393
Dermatology in Portales, NM

Q: What is Shanna Campbell's NPI number?

The NPI number for Shanna Campbell is 1013771393. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Q: What is Shanna Campbell's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanna Campbell was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 07, 2024PECOS EnrolledAccepts Medicare Assignment

42121 US HIGHWAY 70, PORTALES, NM 88130(575) 356-6652 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Feb 7, 2024 (2 updates tracked since 2024).

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About Mrs. Shanna Lee Campbell Np NPPES

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

MRS. SHANNA LEE CAMPBELL NP (NPI 1013771393) is an individual dermatology provider in Portales, New Mexico, licensed in New Mexico (77810) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Roosevelt General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013771393

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameMRS. SHANNA LEE CAMPBELLCredential: NP

Location Address42121 US HIGHWAY 70Portales, NM 88130-9054

Mailing Address42121 Us Highway 70Portales, NM 88130-9054 · (575) 356-6652

Phone(575) 356-6652

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 7, 2024

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1013771393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NM · 77810

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 77810 (NM)

42121 US HIGHWAY 70, Portales, NM 88130

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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 and accepts Medicare assignment

Mrs. Shanna Lee Campbell Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42655698

PECOS Enrollment IDI20240305002552

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roosevelt General Hospital

Acute Care Hospitals · Portales, NM

OwnershipGovernment - Hospital District or Authority

CMS Certification Number320084

Location42121 Us Highway 70Portales, NM 88130 · Roosevelt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88130 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRISTY JANESE WALSH CNM

Advanced Practice Midwife