Stephanie Marie Campbell, APRN, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

106563 Issued in OK

Practice address

550 S. Peoria Avenue
Tulsa, OK 74120

Phone

(918) 588-1900

Fax

(918) 582-6405

NPI assigned

Jun 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arvid Lade MD PLCGroup PAC ID 5890075550, 10 clinicians

Thomas Luiskutty MD PLCGroup PAC ID 1658652979, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.4 of 100Reported as group

Quality

0

Improvement activities

40

Cost

51.33

Merit-based Incentive Payment System (MIPS)

Final score

58.3 of 100Reported as group

Quality

0

Improvement activities

40

Cost

61.01

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15642/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arvid Lade MD PLC

  • Skilled Nursing Facility
  • Bixby, OK
  • NPI 1861845125
  Medicare reassignment Care Compare group NPD
• Thomas Luiskutty MD PLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1063968352
  Medicare reassignment Care Compare group NPD
• Gio, PLLC

  • Health Service Clinic/Center
  • Tulsa, OK
  • NPI 1720427784
  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  Medicare reassignment NPD
• St. John Physicians, Inc

  dba Siggins Memorial Clinic

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD
• Digital Diagnostic Solutions LLC

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1730584509
  NPD (past)
• Indian Health Care Resource Center of Tulsa, Inc.

  • Pharmacy
  • Tulsa, OK
  • NPI 1457447609
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1316329113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E SHREVEPORT ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740118879",
            "telephone_number": "918-286-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S. PEORIA AVENUE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74120",
            "telephone_number": "918-588-1900",
            "fax_number": "918-582-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "106563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Joann Campbell, DNP, FNCP, APRN
• Sarah Campbell, LPC, LADC
• Shannon P Campbell, RDN, LD
• Shelby Deann Campbell
• Sherri Louise Campbell
• Stephen Bill Campbell, MD
• Stephen Ian Campbell, DDS
• Travis D Campbell, DO
• William Robert Campbell, MD
• Shelly Campfield, APRN

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.

Verify at the official NPI Registry.