MR. SHANNON LEE CAMPBELL AGACNP-BC
NPI 1871004358
Nurse Practitioner - Adult Health in Clyde, TX
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 Raritan Bay Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
12Medicare enrollment records show Shannon Campbell reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Big Spring, TX 79720
- Reassigned Medicare billing, Texas enrollment
- 93 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 994 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,338 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Kerrville, TX 78028
- Reassigned Medicare billing, Texas enrollment
- 149 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 309 clinicians in this Medicare group
Mount Gilead, OH 43338
- Reassigned Medicare billing, Ohio enrollment
- 89 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Raritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJBayshore Medical Center
Acute Care Hospitals · Holmdel, NJOhiohealth O'bleness Hospital
Acute Care Hospitals · Athens, OHOdessa Regional Medical Center
Acute Care Hospitals · Odessa, TXPhysician 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.
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.
Reported Quality Measures
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.
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.
Which organizations bill Medicare for Shannon Campbell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Campbell reassigns Medicare benefits to 12 organizations: Big Bend Medical Group (Big Spring, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Concord Medical Group PLLC (Lubbock, TX), Concord Medical Group Of Texas PLLC (Lubbock, TX), Cogent Healthcare Of Texas, PA (Dallas, TX) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Campbell accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company and 1 other insurer 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 Raritan Bay Medical Center, Bayshore Medical Center, Ohiohealth O'bleness Hospital 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.
# Mr. Shannon Lee Campbell, AGACNP-BC · NPI 1871004358
Adult Health physician in Clyde, Texas. Individual provider, active in the CMS NPPES registry since October 23, 2017.
## Identity
- **NPI:** 1871004358 (Entity type: Individual)
- **Enumerated:** October 23, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** AP135592 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 ARCHER ST, Clyde, TX 79510-4225
- **Phone:** (325) 893-1010 · **Fax:** (325) 893-1442
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Big Bend Medical Group (NPI 1811973282, Big Spring, TX); Lonestar Hospital Medicine Associates, PA (NPI 1518237429, Mansfield, TX); Concord Medical Group PLLC (NPI 1083630610, Lubbock, TX); Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 15, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1871004358) · Data from the CMS NPPES public registry.