Individual provider Active NPI

Jennifer Lynn Campbell, M.A., CCC-A

  • Audiologist
  • Hagerstown, MD
National Provider Identifier
1093778813
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00947 Issued in MD
Practice address
11110 Medical Campus Rd
Suite 126
Hagerstown, MD 21742-6700
Phone
(301) 714-4375
Fax
(301) 714-4399
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00947 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd
Suite 126
Hagerstown, MD 21742-6700

Mailing address

11110 Medical Campus Rd
Suite 126
Hagerstown, MD 21742-6700
Phone (301) 714-4375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000462 MD Practitioner - Qualified Audiologist 3072538164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians
Cumberland Valley ENT ConsultantsGroup PAC ID 3577511922, 5 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Suite 126
Hagerstown, MD 21742-6799
Phone (301) 241-7591

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
78.47
Improvement activities
40
Cost
80.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00947MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley ENT Consultants CurrentSince Jul 26, 1999 Accepting new patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Sep 1, 2025 Accepting new patients

Locations

163 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 694-9111

11110 Medical Campus Rd
Ste 126
Hagerstown, MD 21742
Phone (301) 714-4375

120 Sister Pierre Dr
Ste 202
Towson, MD 21204
Phone (410) 216-4945

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1093778813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 126",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4375",
            "fax_number": "301-714-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 126",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4375",
            "fax_number": "301-714-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.