Active NPI
Rachel Campbell, FNP-BC
- Family Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1215247309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00251300
- Practice address
- 6514 Meadowridge Rd
Elkridge, MD 21075-6115 - Phone
- (443) 800-4117
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00251300 | NJ | Primary |
Addresses
Primary practice location
6514 Meadowridge Rd
Elkridge, MD 21075-6115
Mailing address
140 E Ridgewood Ave Ste 415S
Paramus, NJ 07652-3917
Phone (615) 673-4455
Other names 1
- Rachel Heron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, GA, PA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Monogram Health Professional Services of New Jersey LLC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233
Organizations & group practices 7
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.
-
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- NPI 1578284246
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1215247309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE STE 415S",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523917",
"telephone_number": "615-673-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6514 MEADOWRIDGE RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756115",
"telephone_number": "443-800-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RACHEL",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00251300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "HERON",
"credential": "FNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.