Virginia A. Campbell, DO
Individual provider Active NPI Family Medicine Physician · Mission, KS
NPI 1255398152 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1255398152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05-19488 (KS)
- Practice address
- 6511 Johnson Dr
Mission Family Health Care
Mission, KS 66202-2616 - Phone
- (913) 945-9680
- Fax
- (913) 945-9681
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jayhawk Primary Care Inc
Practice addresses (Care Compare)
7301 Mission Rd
Suite 350
Prairie Village, KS 66208-3075
Phone (913) 945-9680
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400
Hospital & facility affiliations
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000657 | KS | Practitioner - Family Practice | 0547303166 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-19488 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayhawk Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Current |
Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Current |
Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111
6511 Johnson Dr
Mission, KS 66202
Phone (913) 945-9680
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684
Interoperability endpoints
- vcampbell8947@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-19488 | KS | Yes |
Addresses
Primary practice location
6511 Johnson Dr
Mission Family Health Care
Mission, KS 66202-2616
Mailing address
2330 Shawnee Mission Pkwy
Medical Administrative Services of Ku Med, Ste. 312
Westwood, KS 66205-2005
Phone (913) 588-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25562039 | Other | BCBS KUMW UC | |
| 10448055 | Other | BCBS | |
| 481159444 | Other | JAYHAWK TAX ID | |
| 10001636000 | Other | CHP PROVIDER NUMBER | |
| 325323 | Other | FIRSTGUARD KUMW UC | |
| 2061912 | Other | AETNA | |
| 2981830 | Other | AETNA KUMW UC | |
| 100428200A | Medicaid | KS | |
| 157695XX | Other | PREFERRED CARE OF NY |
Other providers in Mission, KS
- Halee Brockus
- Jaidyn Brown
- Kaylea Elizabeth Brown
- Susan Kristine Bullano
- Michelle Dawn Callicoat
- Vicki Canady
- Mykia Carrell
- Haley Carrillo
- Meeka Marie Centimano
- Karen Chadwick
All providers in Mission, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. 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.