Mr Shannon Lee Campbell, AGACNP-BC - Medicare Nurse Practitioner in Clyde, TX

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Mr Shannon Lee Campbell, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Clyde, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Callahan County Health And Wellness Clinic Pllc, Comprehensive Hospitalist Services Of Texas Pllc, Hospitalist Physicians Of Indiana Pc and his current practice location is 102 Archer St, Clyde, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 893-1010.

Mr Shannon Lee Campbell is licensed to practice in Texas (license number AP135592) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871004358.

Contact Information

Mr Shannon Lee Campbell, AGACNP-BC
102 Archer St,
Clyde, TX 79510-4225
(325) 893-1010
(325) 893-1442

Map and Direction




Provider's Profile

Full NameMr Shannon Lee Campbell
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location102 Archer St, Clyde, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shannon Lee Campbell attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1871004358
  • Provider Enumeration Date: 10/23/2017
  • Last Update Date: 11/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062775364
  • Enrollment ID: I20180419002284

Medical Identifiers

Medical identifiers for Mr Shannon Lee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871004358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AP135592 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lutheran Hospital Of IndianaFort wayne, INHospital
Navarro Regional HospitalCorsicana, TXHospital
Bluffton Regional Medical CenterBluffton, INHospital
The Orthopaedic Hospital Of Lutheran Health NetworFort wayne, INHospital
Marion General HospitalMarion, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Callahan County Health And Wellness Clinic Pllc06486457472
Comprehensive Hospitalist Services Of Texas Pllc802215003628
Hospitalist Physicians Of Indiana Pc1052795986163

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Shannon Lee Campbell allows following entities to bill medicare on his behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameComprehensive Hospitalist Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295062198
PECOS PAC ID: 8022150036
Enrollment ID: O20100128000411
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameLonestar Hospital Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518237429
PECOS PAC ID: 6709049703
Enrollment ID: O20120530000620
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameTaylor Hm Physician Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386090728
PECOS PAC ID: 3779872122
Enrollment ID: O20160525001299
Entity NameApptexashm Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700399078
PECOS PAC ID: 9335406677
Enrollment ID: O20171122000562
Entity NameCallahan County Health And Wellness Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619615663
PECOS PAC ID: 0648645747
Enrollment ID: O20230403001150

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shannon Lee Campbell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shannon Lee Campbell, AGACNP-BC
102 Archer St,
Clyde, TX 79510-4225

Ph: (325) 893-1010		Mr Shannon Lee Campbell, AGACNP-BC
102 Archer St,
Clyde, TX 79510-4225

Ph: (325) 893-1010

Reviews and Comments


Nurse Practitioner Nurses in Clyde, TX

Grissa Sandoy Hermoso, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 216 Kennedy St, Clyde, TX 79510
Phone: 325-386-5103    
Rosa L Best, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    Fax: 325-893-4035
Dolly Kay Barter, RN, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    Fax: 325-893-4035
Mrs. Michelle Bufkin Escobedo, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    Fax: 325-893-4035
Erica Renee Preston, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    
Martin D Gonzalez, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    Fax: 325-893-4035
Mrs. Shayla R Fine, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    Fax: 325-893-4042

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.