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Active NPI 1780050419 Individual Practitioner Female Practitioner

Shannon Campbell , NP

Nurse Practitioner • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Campbell, NP is a certified Nurse Practitioner practicing in Jacksonville, FL. With approximately 11 years of clinical experience since completing medical education in 2015, Shannon Campbell delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Shannon Campbell is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.3 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Campbell (11 Years) 11 Yrs
Jacksonville Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
22 15 $314.00 $66.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
17 17 $452.00 $100.47

Medical Specialties & State Licenses

CMS Verified: 2021-08-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11013387

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License VT 101.0120646

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License VT 026.0103043

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

1221 Whipple St, Eau Claire, WI 547035270

Phone: 7158383311

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Mayo Clinic Jacksonville

5777 E Mayo Blvd, Phoenix, AZ 850544502

Phone: 4803422000

Secondary Practice Locations

700 Charlestown Rd

Springfield, VT 051564400

Phone: 8028859704

2330 Ne Division St, Suite 7

Bend, OR 977013530

Phone: 8885767526

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 04, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address August 04, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2017

Registered at 700 CHARLESTOWN RD, SPRINGFIELD, VT 051564400 (Tel: 8028859704)

📍
Updated Business Mailing Address July 05, 2017

Registered at 700 CHARLESTOWN RD, SPRINGFIELD, VT 051564400 (Tel: (802) 885-9777)

👤
Provider Name / Credentials Updated July 05, 2017

Recorded as SHANNON CAMPBELL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Registered Nurse (License #026.0103043 in VT)

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 2330 NE DIVISION ST, SUITE 7, BEND, OR 977013530 (Tel: 8885767526)

📍
Updated Business Mailing Address September 12, 2016

Registered at 700 CHARLESTOWN RD, SPRINGFIELD, VT 051564400 (Tel: 8028859777)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as SHANNON CAMPBELL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Registered Nurse (License #026.0103043 in VT)

🟢
Initial NPI Registration & Enumeration August 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780050419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2015
Last Update: August 04, 2021
Sole Proprietor: No

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.