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

Mrs Shanna Lee Campbell, NP is a medicare enrolled "Nurse Practitioner - Family" in Portales, New Mexico. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 Name	Mrs Shanna Lee Campbell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	42121 Us Highway 70, Portales, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013771393
Provider Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024

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.

Identifier	Type	State	Issuer
1013771393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	77810 (New Mexico)	Primary

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 Name	Roosevelt County Special Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Nurse Practitioner Nurses in Portales, NM

Lindsay Young, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Teresa Claire Evan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695 Fax: 575-356-5948
Kerri Renee Self, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 W 4th St, Portales, NM 88130 Phone: 575-226-3898 Fax: 575-226-3890
Eva F Toelle, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Sylvia Anne Rife, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-226-0099
Mrs. Johanna Christine Pettrey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695

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