SHANNON DUGE BARTELL, CPNP — NPI 1669720785 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in HELOTES, TX)

CMS-1500 Box 24J / 33a • NPI

1669720785

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP0200X (CMS 50)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

12274 BANDERA RD, SUITE 106, HELOTES, TX, 78023-4385

✓ 9-Digit EDI 837 ZIP+4 (78023-4385)

Practice Phone & Referral Fax

(210) 372-0505

Fax: (210) 372-0404

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669720785 (SHANNON DUGE BARTELL, CPNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669720785` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHANNON DUGE BARTELL, CPNP
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `363LP0200X` (Nurse Practitioner, Pediatrics)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	12274 BANDERA RD, SUITE 106, HELOTES, TX, 78023-4385
Practice Telephone / Fax	Tel: (210) 372-0505 \| Fax: (210) 372-0404
Administrative Mailing Address	12274 BANDERA RD, HELOTES, TX, 78023-4385
Enumeration & Last Sync	Enumerated: 2012-08-21 \| CMS Record Updated: 2012-08-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12274 BANDERA RD, SUITE 106, HELOTES, TX, 78023-4385

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Plain-English Taxonomy & CMS Crosswalk (363LP0200X)

What Does Taxonomy Code 363LP0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0200X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHANNON DUGE BARTELL, CPNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LP0200X` — Nurse Practitioner, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: TX \| License: `751834` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SHANNON DUGE BARTELL, CPNP (NPI #1669720785)