Individual provider Active NPI

Jennifer Campoli, APRN, NP-C

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1205201530
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000889 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-2055
Phone
(302) 366-1200
Fax
(302) 366-1700
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0033691 DE
Family Nurse Practitioner 363LF0000X LG-0000889 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-2055

Mailing address

230 Jasmine LN
Newark, DE 19702-3952
Phone (302) 824-9452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425000466 DE Practitioner - Nurse Practitioner 0143583237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Oncology Hematology Consultants PAGroup PAC ID 6305923756, 32 clinicians

Practice addresses (Care Compare)

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-7007
Phone (302) 366-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
78.45
Promoting interoperability
100
Improvement activities
40
Cost
54.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0033691DEMDRegistered Nurse
LG-0000889DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Oncology Hematology Consultants PA CurrentSince Mar 13, 2018 Accepting new patients

Locations

651 N Broad St
Ste 406
Middletown, DE 19709
Phone (302) 366-1200

272 Carter Dr
Ste 200
Middletown, DE 19709
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 3400
Newark, DE 19713
Phone (302) 366-1200

Interoperability endpoints

  • Direct secure messaging: jennifer.campoli@mohc.ikm.direct-ci.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1205201530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 JASMINE LN",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023952",
            "telephone_number": "302-824-9452",
            "fax_number": "302-366-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOLI",
        "first_name": "JENNIFER",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0033691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.