Individual provider Active NPI

Wendi L Campbell, FNP

  • Family Nurse Practitioner
  • Taylorville, IL
National Provider Identifier
1366554305
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209004422 Issued in IL
Practice address
1304 Burnett Dr
Taylorville, IL 62568-9519
Phone
(217) 321-9310
Fax
(217) 789-1825
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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 209004422 IL Primary

Addresses

Primary practice location

1304 Burnett Dr
Taylorville, IL 62568-9519

Mailing address

1304 Burnett Dr
Taylorville, IL 62568-9519
Phone (217) 321-9310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wcampbell106698@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20061205000212 IL Practitioner - Nurse Practitioner 5698774495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toofan Medical Holdings, LTDGroup PAC ID 6800026006, 14 clinicians
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1001 Ave of Mid America
Suite 4
Effingham, IL 62401-4634
Phone (217) 994-9301

1836 S Macarthur Blvd
Springfield, IL 62704-4030
Phone (217) 789-1403

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209004422ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Good Shepherd Hospital Inc CurrentSince Jun 2, 2025 Accepting new patients
Toofan Medical Holdings, LTD CurrentSince Jun 1, 2023 Accepting new patients
HSHS Good Shepherd Hospital Inc CurrentSince Jun 2, 2025 Accepting new patients
Toofan Medical Holdings, LTD. CurrentSince Jun 1, 2023 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1001 Avenue of Mid America
Ste 4
Effingham, IL 62401
Phone (217) 994-9301

200 S Cedar St
Shelbyville, IL 62565
Phone (217) 774-3961

3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406

1510 W Springfield Rd
Ste A
Taylorville, IL 62568
Phone (217) 824-8244

Interoperability endpoints

  • Direct secure messaging: wcampbell106698@ewd.direct.hshs.org

Organizations & group practices 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1366554305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BURNETT DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689519",
            "telephone_number": "217-321-9310",
            "fax_number": "217-789-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BURNETT DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689519",
            "telephone_number": "217-321-9310",
            "fax_number": "217-789-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WENDI",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209004422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcampbell106698@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1304 Burnett Dr",
            "city": "Taylorville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625689519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.