Individual provider Active NPI

Arielle M Campbell, PA

  • Physician Assistant
  • Mt Juliet, TN
National Provider Identifier
1043774789
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4450 Issued in TN
Practice address
5002 Crossings Cir Ste 100
Mt Juliet, TN 37122-8496
Phone
(844) 893-0012
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4450 TN Primary
Physician Assistant 363A00000X 2019002633 MO

Addresses

Primary practice location

5002 Crossings Cir Ste 100
Mt Juliet, TN 37122-8496

Mailing address

PO Box 12369
Murfreesboro, TN 37129-0048
Phone (844) 893-0012

Other practice location 1

1825 E Republic Rd Apt 6108
Springfield, MO 65804-6609
Phone (417) 830-9977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220301001326 TN Practitioner - Physician Assistant 0143568311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

5002 Crossings Cir
Suite 100
Mt Juliet, TN 37122-8496
Phone (844) 893-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4450TNMDOccupational Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1043774789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12369",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290048",
            "telephone_number": "844-893-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 CROSSINGS CIR STE 100",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228496",
            "telephone_number": "844-893-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 E Republic Rd Apt 6108",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046609",
            "country_code": "US",
            "telephone_number": "417-830-9977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ARIELLE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4450",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019002633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.