Individual provider Active NPI

Amber Campbell, NP

  • Family Nurse Practitioner
  • Newburgh, NY
National Provider Identifier
1023880291
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349469 Issued in NY
Practice address
12 HDSN Vly Prof PLZ
Newburgh, NY 12550-3101
Phone
(845) 561-1581
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349469 NY Primary

Addresses

Primary practice location

12 HDSN Vly Prof PLZ
Newburgh, NY 12550-3101

Mailing address

12 HDSN Vly Prof PLZ
Newburgh, NY 12550-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002985 NY Practitioner - Nurse Practitioner 6002265105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
349469NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin H Weiner, MD, PC CurrentSince Oct 15, 2023 Accepting new patients
Merion Square Road Medical PC PastSince Mar 27, 2025 Accepting new patients

Locations

3199 Bainbridge Ave
Bronx, NY 10467
Phone (347) 346-8330

12 Hdsn Vly Prof Plz
Newburgh, NY 12550
Phone (516) 599-4475

963 Post Ave
Staten Island, NY 10302
Phone (718) 442-4422

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1023880291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HDSN VLY PROF PLZ",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HDSN VLY PROF PLZ",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503101",
            "telephone_number": "845-561-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.