Individual provider

Shannon Campbell, AGACNP-BC

Adult Health Nurse Practitioner Medicare enrolled

Shannon Campbell, AGACNP-BC is an Adult Health Nurse Practitioner in Clyde, TX, registered under NPI 1871004358.

Getting there

The practice address on file is 102 ARCHER ST, Clyde, TX 79510. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

102 ARCHER ST, Clyde, TX 79510 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AP135592 TX Adult Health Nurse Practitioner primary

This provider holds licence AP135592 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
2062775364

Enrolled in Medicare 5 times, across 5 states:

StateEnrollment IDProvider type
Texas I20180419002284 Practitioner - Nurse Practitioner
Indiana I20231102002750 Practitioner - Nurse Practitioner
New Jersey I20241230001556 Practitioner - Nurse Practitioner
Massachusetts I20250825002857 Practitioner - Nurse Practitioner
Pennsylvania I20250902003150 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 5 separate enrolment records across 5 states (TX, IN, NJ, MA, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1871004358 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 23, 2017
Last updatedNov 15, 2022
StatusActive
Sole proprietorNo
GenderMale
CredentialAGACNP-BC
Practice address 102 ARCHER ST
Clyde, TX 79510
(325) 893-1010
Fax (325) 893-1442
The last update on file is Nov 15, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1871004358 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 7 1 0 0 4 3 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 5 1 0 0 8 3 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1871004358?
NPI 1871004358 is the National Provider Identifier assigned to Shannon Campbell, AGACNP-BC in Clyde, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Shannon Campbell, AGACNP-BC?
The phone number on file with NPPES is (325) 893-1010, last updated Nov 15, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shannon Campbell, AGACNP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1871004358 a valid number?
Yes. 1871004358 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.