SHANNON LARIE MITCHELL (RN-ACNP) – Acute Care Nurse Practitioner, NPI 1669665964

SHANNON LARIE MITCHELL (RN-ACNP) is a healthcare provider. based in Texarkana, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN-ACNP. They hold a License No. 653277 (TX). The NPI Number for SHANNON LARIE MITCHELL (RN-ACNP) is 1669665964

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LARIE MITCHELL (RN-ACNP)
NPI
1669665964
Phone
(903) 614-3000
Address
5002 COWHORN CREEK RD
Enumeration Date
21 August 2007
Last Update Date
3 August 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
9036143000
Graduation Year
2006 (20 years ago)
PAC ID
7113234808
Group Practice PAC ID
1355249541
Professional Enrollment ID
I20150912000197
Address ID
TX755039766TE5002XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:18State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for SHANNON LARIE MITCHELL (RN-ACNP)

  • 5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    Fax: (903) 614-3525

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $986.

Total Amount is formed as General ($986) + Research ($0) + Ownership ($0) = $986.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($177).

Total Amount

$986

General + Research + Ownership

Payments

55

Total payment records

General Amount

$986

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150912000197INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes264188$0
99214Established patient office or other outpatient visit, 30-39 minutes177139$0
36415Insertion of needle into vein for collection of blood sample172117$0
80053Blood test, comprehensive group of blood chemicals170119$0
81001Manual urinalysis test with examination using microscope, automated152114$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Provider's Procedures

SHANNON LARIE MITCHELL (RN-ACNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTX85610Blood test, clotting time1615

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355249541View full group profile

Reviews

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Frequently asked questions

Can I verify SHANNON LARIE MITCHELL (RN-ACNP) with an NPI only?
You can start verification with NPI 1669665964 for SHANNON LARIE MITCHELL (RN-ACNP), then check state licensing separately.
Does the file indicate SHANNON LARIE MITCHELL (RN-ACNP) is practicing under active NPI?
Directory data currently reports SHANNON LARIE MITCHELL (RN-ACNP) as active.
What healthcare role does SHANNON LARIE MITCHELL (RN-ACNP) hold?
Scheduling teams often label SHANNON LARIE MITCHELL (RN-ACNP) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for SHANNON LARIE MITCHELL (RN-ACNP)?
SHANNON LARIE MITCHELL (RN-ACNP)'s geographic hint is Texarkana, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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