Individual provider Active NPI

Cristi Campbell, FNP

  • Family Nurse Practitioner
  • Cameron, MO
National Provider Identifier
1326196767
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
150796 Issued in MO
Practice address
1600 E Evergreen St
Medical Plaza 2, Suite C
Cameron, MO 64429-2400
Phone
(816) 632-2139
NPI assigned
Jan 8, 2007
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 150796 MO Primary

Addresses

Primary practice location

1600 E Evergreen St
Medical Plaza 2, Suite C
Cameron, MO 64429-2400

Mailing address

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040313000508 MO Practitioner - Nurse Practitioner 2466341714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400

1608 E Evergreen St
Cameron, MO 64429-2400

221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center Inc CurrentSince Aug 24, 2009 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Aug 24, 2009 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139

1007 S Polk St
Maysville, MO 64469
Phone (816) 445-2123

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1326196767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "address_2": "MEDICAL PLAZA 2, SUITE C",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CRISTI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "150796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.