SHANNON LARIE MITCHELL RN-ACNP
NPI 1669665964
Nurse Practitioner - Acute Care in Texarkana, TX

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
5002 COWHORN CREEK RD, TEXARKANA, TX 75503(903) 614-3000(903) 614-3525 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Larie Mitchell Rn-acnp NPPES

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

SHANNON LARIE MITCHELL RN-ACNP (NPI 1669665964) is an individual acute care provider in Texarkana, Texas, licensed in Texas (AP115188) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of University Of Arkansas College Of Medicine (2006).

NPPES Registry Identity

NPI1669665964
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHANNON LARIE MITCHELLCredential: RN-ACNP
Location Address5002 COWHORN CREEK RDTexarkana, TX 75503-9766
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Fax(903) 614-3525
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2006
Enumeration DateAugust 21, 2007
Last NPPES UpdateAugust 3, 2015
NPI 1669665964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in TX · AP115188 Licensed in TX · 653277
5002 COWHORN CREEK RD, Texarkana, TX 75503

Other Names 1

Former Name (1)Shannon Larie Humphrey Rn, Acnp

Other Identifiers 2

OtherAP115188TX · Aprn
Other653277TX · Rn

Accepted Insurance

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

Shannon Larie Mitchell Rn-acnp 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 ID7113234808
PECOS Enrollment IDI20150912000197
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 36

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
299 services203 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
234 services122 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
224 services138 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
218 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services150 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
161 services120 patients

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims17 services$6.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$19.95 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$5.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$94.45 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$33.86 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$184.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Urology
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Psychiatry & Neurology (Psychiatry)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Allergy & Immunology
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Internal Medicine (Rheumatology)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Internal Medicine (Gastroenterology)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Physician Assistant
5002 COWHORN CREEK RD
TEXARKANA, TX 75503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Mitchell's NPI number?

The NPI number for Shannon Mitchell is 1669665964. It was assigned to this individual provider in the NPPES registry on August 21, 2007. The provider is also known as Shannon Larie Humphrey Rn, Acnp.

Where is Shannon Mitchell located?

Shannon Mitchell practices at 5002 Cowhorn Creek Rd, Texarkana, TX 75503. The listed phone number is (903) 614-3000.

What is Shannon Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shannon Mitchell enrolled in Medicare?

Yes. Shannon Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Mitchell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Shannon Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shannon Mitchell affiliated with any hospitals?

According to CMS data, Shannon Mitchell is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Shannon Mitchell was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.