Individual provider Active NPI

Maureen Campbell, NP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1326763319
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022960 Issued in CA
Practice address
333 University Ave Ste 120
Sacramento, CA 95825-6532
Phone
(916) 929-8564
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 95022960 CA Primary

Addresses

Primary practice location

333 University Ave Ste 120
Sacramento, CA 95825-6532

Mailing address

1755 4TH Ave
Sacramento, CA 95818-3027
Phone (916) 201-3613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221115002433 CA Practitioner - Nurse Practitioner 2062880545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Nephrology Medical GroupGroup PAC ID 5799736427, 22 clinicians

Practice addresses (Care Compare)

333 University Ave
Suite 120
Sacramento, CA 95825-6532
Phone (916) 929-8564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Nephrology Medical Group CurrentSince Oct 17, 2022 Accepting new patients

Locations

6450 Coyle Ave
Ste 3
Carmichael, CA 95608
Phone (916) 621-6740

1111 Exposition Blvd
Ste 300
Sacramento, CA 95815
Phone (916) 564-6232

333 University Ave
Ste 120
Sacramento, CA 95825
Phone (916) 929-8564

Interoperability endpoints

  • Direct secure messaging: mcampbell641906@hisp.ehr.sutterhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1326763319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 4TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958183027",
            "telephone_number": "916-201-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 UNIVERSITY AVE STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256532",
            "telephone_number": "916-929-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.