5002 COWHORN CREEK RD
TEXARKANA, TX 75503-9766 US Accepts Medicare Payment
PECOS Enrolled
Shannon Larie Mitchell
Nurse Practitioner (Acute Care)
- TEXARKANA, TX
- Phone: (903)-614-3000
- Last Updated 8/3/2015
Overview
Shannon Larie Mitchell is a Nurse Practitioner (Acute Care) in the TEXARKANA area and has over 19 years of experience. Shannon Larie Mitchell primary office location is at 5002 COWHORN CREEK RD and new patients are welcome to contact this healthcare provider for an appointment. She attended University Of Arkansas College Of Medicine and graduated 2006
Shannon Larie Mitchell is affiliated with two hospitals in the TEXARKANA area, including CHRISTUS ST MICHAEL HEALTH SYSTEM. The NPI number is 1669665964 and the information was updated approximately 10 years ago.
Shannon Larie Mitchell is affiliated with one medical group in the TEXARKANA area, COLLOM AND CARNEY CLINIC ASSOCIATION.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 653277 | TX |
| AP115188 | TX |
| Type/Issuer | Identifier | State |
|---|---|---|
| APRN | AP115188 | TX |
| RN | 653277 | TX |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Acute Care) - Taxonomy Code 363LA2100X | TX | Y |
| Nurse Practitioner (Acute Care) - Taxonomy Code 363LA2100X | TX | N |
Quality Reporting:
| Accepts Medicare Assignment: Yes If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount. |
| Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No |
| Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No |
| Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No |
| Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20150912000197 |
| PECOS Individual PAC ID: | 7113234808 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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