Individual provider Active NPI

Dana Lynn Campbell

  • Family Nurse Practitioner
  • Mooresville, IN
National Provider Identifier
1346984499
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012608A Issued in IN
Practice address
1199 Hadley Rd Ste 100
Mooresville, IN 46158-1788
Phone
(317) 834-3263
Fax
(317) 834-5194
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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 71012608A IN Primary

Addresses

Primary practice location

1199 Hadley Rd Ste 100
Mooresville, IN 46158-1788

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

2701 E 3rd St
Bloomington, IN 47401-5433
Phone (812) 332-1419

Other practice location 2

7230 Arbuckle Cmns # 178
Brownsburg, IN 46112-1791
Phone (812) 614-2955

Other names 1

  • Mrs. Dana Lynn Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220512000272 IN Practitioner - Nurse Practitioner 3072990035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1199 Hadley Rd
Suite 104
Mooresville, IN 46158-1788
Phone (317) 831-2273

Hospital & facility affiliations

  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012608AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Apr 10, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Apr 10, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1199 Hadley Rd
Ste 100
Mooresville, IN 46158
Phone (317) 834-3263

1199 Hadley Rd
Ste 104
Mooresville, IN 46158
Phone (317) 528-8494

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1346984499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HADLEY RD STE 100",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581788",
            "telephone_number": "317-834-3263",
            "fax_number": "317-834-5194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015433",
            "country_code": "US",
            "telephone_number": "812-332-1419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7230 Arbuckle Cmns # 178",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461121791",
            "country_code": "US",
            "telephone_number": "812-614-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012608A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "CAMPBELL",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.