Active NPI
Nicole Marie Campanella, CNM
- Family Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP018789
- Practice address
- 116 S George St
York, PA 17401-1474 - Phone
- (717) 845-8617
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP018789 | PA | Primary |
| Midwife | 176B00000X | MW010480 | PA |
Addresses
Primary practice location
116 S George St
York, PA 17401-1474
Mailing address
116 S George St
York, PA 17401-1474
Phone (717) 845-8617
Other practice location 1
2645 N 3rd St
Harrisburg, PA 17110-2001
Phone (717) 782-4700
Other practice location 2
110 S 17th St
Harrisburg, PA 17104-1123
Phone (717) 232-9941
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nquintero63492@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180214001429 | PA | Practitioner - Certified Nurse Midwife (CNM) | 0840550703 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP018789 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Hamilton Health Center, Inc. | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Hamilton Health Center, Inc | Current | Accepting new patients | |
| CRHS@ Hamilton Health Center | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2645 N 3rd St
Fl 4
Harrisburg, PA 17110
Phone (717) 782-4700
2645 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-4650
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906
1880 Kenneth Rd
Ste 3
York, PA 17408
Phone (717) 291-6752
Interoperability endpoints
- nicole.campanella.1@7492.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Harrisburg, PA
- NPI 1497779862
PA
-
- Community/Retail Pharmacy
- Harrisburg, PA
- NPI 1902496573
-
- Federally Qualified Health Center (FQHC)
- Harrisburg, PA
- NPI 1053658864
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Transplant Surgery Physician
- Harrisburg, PA
- NPI 1467603308
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1992225197
-
- Federally Qualified Health Center (FQHC)
- Harrisburg, PA
- NPI 1023058534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1003324153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-845-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-845-8617"
}
],
"practiceLocations": [
{
"address_1": "2645 N 3rd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171102001",
"country_code": "US",
"telephone_number": "717-782-4700",
"fax_number": "717-782-4710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 S 17th St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171041123",
"country_code": "US",
"telephone_number": "717-232-9941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPANELLA",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP018789",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "PA",
"license": "MW010480",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nquintero63492@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "2645 N 3rd St",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171102001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.