Individual provider Active NPI

Janine S Camplin, RN, MSN, APN

  • Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1053520221
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024178497 Issued in VA
Practice address
Centra Medical Group - the Summit
1400 Enterprise Dr
Lynchburg, VA 24502
Phone
(630) 927-8213
NPI assigned
May 22, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209002162 IL
Nurse Practitioner 363L00000X 0024178497 VA Primary

Addresses

Primary practice location

Centra Medical Group - the Summit
1400 Enterprise Dr
Lynchburg, VA 24502

Mailing address

Centra Medical Group - the Summit Health and Rehab
1400 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 582-1500

Other identifiers 5

IdentifierTypeStateIssuer
206147OtherILMEDICARE PTAN (GROUP)
T01566OtherILMEDICARE PTAN (INDIVIDUAL)
$$$$$$$$$MedicaidIL
CA4748OtherILMEDICARE RAILROAD (GROUP)
P01108937OtherILMEDICARE RAILROAD (INDIVIDUAL)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209002162ILMDNurse Practitioner
0024178497VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Cardiology S.C. Past Accepting new patients

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, 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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053520221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRA MEDICAL GROUP - THE SUMMIT HEALTH AND REHAB",
            "address_2": "1400 ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-582-1500",
            "fax_number": "630-232-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRA MEDICAL GROUP - THE SUMMIT",
            "address_2": "1400 ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "630-927-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPLIN",
        "first_name": "JANINE",
        "middle_name": "S",
        "credential": "RN, MSN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209002162",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "T01566",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD (GROUP)",
            "identifier": "CA4748",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD (INDIVIDUAL)",
            "identifier": "P01108937",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.