Mrs Shanna Lee Campbell, NP - Medicare Nurse Practitioner in Portales, NM

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Mrs Shanna Lee Campbell, NP is a medicare enrolled "Dermatology" in Portales, New Mexico. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Roosevelt County Special Hospital District and her current practice location is 42121 Us Highway 70, Portales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 356-6652.

Mrs Shanna Lee Campbell is licensed to practice in New Mexico (license number 77810) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013771393.

Contact Information

Mrs Shanna Lee Campbell, NP
42121 Us Highway 70,
Portales, NM 88130-9054
(575) 356-6652
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shanna Lee Campbell
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location42121 Us Highway 70, Portales, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shanna Lee Campbell graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1013771393
  • Provider Enumeration Date: 02/07/2024
  • Last Update Date: 04/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0042655698
  • Enrollment ID: I20240305002552

Medical Identifiers

Medical identifiers for Mrs Shanna Lee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013771393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 77810 (New Mexico)Secondary
207N00000XDermatology 77810 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Roosevelt General HospitalPortales, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Roosevelt County Special Hospital District408252666035

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. Mrs Shanna Lee Campbell allows following entities to bill medicare on her behalf.
Entity NameRoosevelt County Special Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073517058
PECOS PAC ID: 4082526660
Enrollment ID: O20040708000841

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. Mrs Shanna 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
Mrs Shanna Lee Campbell, NP
42121 Us Highway 70,
Portales, NM 88130-9054

Ph: (575) 356-6652		Mrs Shanna Lee Campbell, NP
42121 Us Highway 70,
Portales, NM 88130-9054

Ph: (575) 356-6652

Reviews and Comments



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.