Jennifer Leanne Campbell – Family Nurse Practitioner

Key facts

NPI: 1053775445
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: AP130494 (TX)
Practice address: 201 Walls Dr
Cleburne, TX 76033-4007
Phone: (817) 556-5423
NPI assigned: Apr 11, 2016
Sex: Female
Sole proprietor: No

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.

North Texas Heart and Vascular PLLC Interventional Cardiology Physician · Burleson, TX · NPI 1912315045

Medicare reassignment Care Compare group NPD TX

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Texas Health Huguley, Inc Psychiatric Hospital Unit · Burleson, TX · NPI 1518355759

Care Compare affiliation Hospital
Texas Health Huguley, Inc. General Acute Care Hospital · Burleson, TX · NPI 1033120423

Care Compare affiliation Hospital
Texas Health Huguley, Inc. Psychiatric Hospital Unit · Burleson, TX · NPI 1548273881

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: North Texas Heart and Vascular PLLC (4 clinicians)

Practice addresses (Care Compare)

11797 S Fwy
Suite 254
Burleson, TX 76028-7035
Phone (817) 293-8888

Hospital & facility affiliations

Texas Health Huguley Hospital Fort Worth South Hospital · Fort Worth, TX · CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score: 93.53 of 100 (group)
Quality: 100
Promoting interoperability: 100
Improvement activities: 40
Cost: 62.92

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
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
I20171215000193	TX	Practitioner - Nurse Practitioner	6406114768	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
North Texas Heart and Vascular PLLC		Current since May 3, 2019	Accepting new patients

Locations

11797 South Fwy
Ste 254
Burleson, TX 76028
Phone (817) 293-8888

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

201 N Broadway St
Joshua, TX 76058
Phone (817) 558-4535

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/GEJBDA
FHIR API: https://fhir4.healow.com/fhir/r4/GEJBDA/Endpoint/GEJBDA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	AP130494	TX	Yes

Addresses

Primary practice location

201 Walls Dr
Cleburne, TX 76033-4007

Mailing address

201 Walls Dr
Cleburne, TX 76033-4007
Phone (817) 556-5423

Other providers in Cleburne, TX

All providers in Cleburne, TX · Family Nurse Practitioner in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2017. 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.

Verify at the official NPI Registry.