Shanna Lee Campbell, NP

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

77810 Issued in NM

Practice address

42121 US Highway 70
Portales, NM 88130-9054

Phone

(575) 356-6652

NPI assigned

Feb 7, 2024

Last updated

Apr 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roosevelt County Special Hospital DistrictGroup PAC ID 4082526660, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannacampbell@rghnm.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roosevelt County Special Hospital District

  dba Roosevelt General Hospital

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058
  Medicare reassignment Care Compare group NPD
• Roosevelt County Special Hospital District

  dba RGH-Internal Medicine Group

  • Family Medicine Physician
  • Portales, NM
  • NPI 1093801292
  NPD
• Roosevelt County Special Hospital District

  dba N/a

  • Rural Health Clinic/Center
  • Clovis, NM
  • NPI 1578639662
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  Care Compare affiliation
• Roosevelt County Special Hospital District

  dba Roosevelt General Hospital

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1013771393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42121 US HIGHWAY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309054",
            "telephone_number": "575-356-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42121 US HIGHWAY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309054",
            "telephone_number": "575-356-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHANNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "77810",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "77810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey La Dawn Bullock, RBT
• David Burciaga, YOUTH CARE-BONEM HM
• Lauren Cagle
• Davonica Calbert
• Roberta Calderon
• Jana Carn
• Wade Carter
• Johnny G Casady, LPCC
• Leah Jayne Castro, CLC
• Madeline K Chalenor, CRNA, DNP

• Dermatology Physician in Portales, NM
• Providers in Portales, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.