Chelsee Ann Campbell
Individual provider Active NPI Family Nurse Practitioner · Blackfoot, ID
NPI 1114712866 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1114712866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1671950 (ID)
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-4100
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Bingham Memorial Hospital
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
- Bingham Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20250519000845 | ID | Practitioner - Nurse Practitioner | 2466970918 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc | Current |
Accepting new patients | |
| BMH, Inc. | Family Medicine | Current |
Accepting new patients |
| BMH Inc | Current |
Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients |
Locations
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
98 Poplar St
Ste Peds
Blackfoot, ID 83221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1671950 | ID | Yes |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 550-1627
Other practice location 1
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 550-1627
Other providers in Blackfoot, ID
- Richard Russell Burt
- Gary D Call
- Thomas Call
- Camp Hippo Pediatric Therapy LLC
- Camp Hippo Pediatric Therapy LLC.
- Amador Ramirez Cantu
- Angelo Michael Capricchione
- Jean Marc Cardinal
- Katrina Haley Carl
- Darcey Lynn Carr
All providers in Blackfoot, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. 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.