Richard D Campbell, ANP
Individual provider Active NPI Adult Health Nurse Practitioner · Cameron, MO
NPI 1053414219 · NPPES record last updated Apr 29, 2014
Key facts
- NPI
- 1053414219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 150797 (MO)
- Practice address
- 1600 E Evergreen
Cameron, MO 64429-0557 - Phone
- (816) 649-3362
- Fax
- (816) 238-4470
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Regional Medical Center Inc
Practice addresses (Care Compare)
1600 E Evergreen St
Cameron, MO 64429-2400
1608 E Evergreen St
Cameron, MO 64429-2400
221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100
Hospital & facility affiliations
- Cameron Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.28 of 100
- Quality
- 38.51
- Improvement activities
- 40
- Cost
- 70.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040828000123 | MO | Practitioner - Nurse Practitioner | 9234104738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150797 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Past | Accepting new patients | |
| Midwestern Health Management, Inc. | Past | Accepting new patients | |
| Heartland Regional Medical Center | Past | Accepting new patients |
Locations
1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 150797 | MO | Yes |
Addresses
Primary practice location
1600 E Evergreen
Cameron, MO 64429-0557
Mailing address
1600 E Evergreen
PO Box 557
Cameron, MO 64429-0557
Phone (816) 649-3362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423978329 | Medicaid | MO | |
| 200263390A | Medicaid | KS |
Other providers in Cameron, MO
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cristi Campbell
- Mark Landis Carr
- Charles E Chatfield
- Clay Poplin LCSW, LLC
- Jennifer Larae Clemons
- Clinco Sheltered Industries, Inc.
All providers in Cameron, MO · Adult Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.