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MR. SHANNON LEE CAMPBELL AGACNP-BC
NPI 1871004358
Nurse Practitioner - Adult Health in Clyde, TX

Active since October 23, 2017PECOS EnrolledAccepts Medicare Assignment
78.19/100
CMS Quality Rating
102 ARCHER ST, CLYDE, TX 79510(325) 893-1010(325) 893-1442 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Jul 8, 2019, Jun 7, 2019 and 1 more (4 updates tracked since 2017).

About Mr. Shannon Lee Campbell Agacnp-bc NPPES

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

MR. SHANNON LEE CAMPBELL AGACNP-BC (NPI 1871004358) is an individual adult health provider in Clyde, Texas, licensed in Texas (AP135592) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2017).

NPPES Registry Identity

NPI1871004358
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. SHANNON LEE CAMPBELLCredential: AGACNP-BC
Location Address102 ARCHER STClyde, TX 79510-4225
Mailing Address102 Archer StClyde, TX 79510-4225 · (325) 893-1010 · Fax (325) 893-1442
Phone(325) 893-1010
Fax(325) 893-1442
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017
Enumeration DateOctober 23, 2017
Last NPPES UpdateNovember 15, 20224 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1871004358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP135592
102 ARCHER ST, Clyde, TX 79510
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.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

Mr. Shannon Lee Campbell Agacnp-bc 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 ID2062775364
PECOS Enrollment IDI20180419002284, I20231102002750, I20241230001556, I20250825002857
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Odessa Regional Medical Center

Acute Care Hospitals · Odessa, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450661
Location520 E 6th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79510 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.81
Improvement Activities40
Cost65.75

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

CALLAHAN COUNTY HEALTH AND WELLNESS CLINIC PLLC
Family Medicine
102 ARCHER ST
CLYDE, TX 79510
Callahan County (325) 893-1010
RACHEL PAULINE PARKHILL FNPBC
Nurse Practitioner (Family)
102 ARCHER ST
CLYDE, TX 79510
Callahan County (325) 893-1010

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 Campbell's NPI number?

The NPI number for Shannon Campbell is 1871004358. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Where is Shannon Campbell located?

Shannon Campbell practices at 102 Archer St, Clyde, TX 79510. The listed phone number is (325) 893-1010.

What is Shannon Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Campbell enrolled in Medicare?

Yes. Shannon Campbell 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 Campbell accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Shannon Campbell 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 Campbell affiliated with any hospitals?

According to CMS data, Shannon Campbell is affiliated with St Vincent Hospital, Raritan Bay Medical Center, Bayshore Medical Center and Odessa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Campbell was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.