Active NPI
Kimberly S Campbell, NP
- Adult Health Nurse Practitioner
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 70000215B
- Practice address
- 1713 E 10TH St
Jeffersonville, IN 47130-7100 - Phone
- (812) 282-1617
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 70000215B | IN | Primary |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 70000215A | IN |
Addresses
Primary practice location
1713 E 10TH St
Jeffersonville, IN 47130-7100
Mailing address
1713 E 10TH St
Jeffersonville, IN 47130-7100
Phone (812) 282-1617
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcampbell62513@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550
41 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 282-1617
705 Fairground Rd
Scottsburg, IN 47170-6778
Phone (812) 752-0165
941 W McClain Ave
Suite C
Scottsburg, IN 47170-1158
Phone (812) 752-7705
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70000215B | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Indiana Emergency Professionals PC | Past | Accepting new patients | |
| Jackson County Schneck Memorial Hospital | Adult Health | Past | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Locations
41 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-1617
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
2019 State St
New Albany, IN 47150
Phone (812) 337-5003
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
-
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
Adult Health
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- Critical Access Hospital
- Scottsburg, IN
- NPI 1013251594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1093945222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 E 10TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471307100",
"telephone_number": "812-282-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 E 10TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471307100",
"telephone_number": "812-282-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KIMBERLY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "70000215B",
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "IN",
"license": "70000215A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcampbell62513@bhkydirect.com",
"affiliation": "N",
"address_1": "41 Quartermaster Ct",
"city": "Jeffersonville",
"state": "IN",
"country_code": "US",
"postal_code": "471303623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.