Individual provider Active NPI

Cynthia Ann Campbell, NP-C

  • Family Nurse Practitioner
  • Alliance, OH
National Provider Identifier
1356650436
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 11896-NP Issued in OH
Practice address
200 E State St
Alliance, OH 44601-4936
Phone
(330) 829-8699
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 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 COA 11896-NP OH Primary

Addresses

Primary practice location

200 E State St
Alliance, OH 44601-4936

Mailing address

3399 Union Ave NE
Minerva, OH 44657-9132
Phone (330) 862-2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110119000098 OH Practitioner - Nurse Practitioner 5092904383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Hospital-Based Physicians CorporationGroup PAC ID 9133019110, 69 clinicians

Practice addresses (Care Compare)

2051 Wales Ave NW
Massillon, OH 44646-2393
Phone (330) 363-7462

Hospital & facility affiliations

  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 11896-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Hospital-Based Physician Corporation CurrentSince Apr 7, 2024 Accepting new patients
Ohio Hospital-Based Physicians Corporation CurrentSince Apr 7, 2024 Accepting new patients
Orrville Hospital Foundation CurrentSince Apr 30, 2021 Accepting new patients
Alliance Community Medical Foundation LLC CurrentSince Sep 1, 2015 Accepting new patients
Orrville Hospital Foundation CurrentSince Apr 30, 2021 Accepting new patients
Ashtabula County Medical Center CurrentSince Aug 24, 2013 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients

Locations

270 E State St
Ste 120
Alliance, OH 44601
Phone (330) 453-4300

270 E State St
Ste G105
Alliance, OH 44601
Phone (330) 829-8699

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

514 W Main St
Louisville, OH 44641
Phone (330) 829-9389

2051 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-7462

830 S Main St
Ste 511
Orrville, OH 44667
Phone (330) 684-2015

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: cynthia.campbell@direct.aultman.org

Organizations & group practices 7

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 1

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1356650436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 UNION AVE NE",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446579132",
            "telephone_number": "330-862-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014936",
            "telephone_number": "330-829-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 11896-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.