Individual provider Active NPI

Karen Marie Campbell, PA-C

  • Physician Assistant
  • Rifle, CO
National Provider Identifier
1376751024
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2566 Issued in CO
Practice address
501 Airport Rd
Rifle, CO 81650-8510
Phone
(970) 625-1100
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand River Hospital District 79 clinicians

Practice addresses (Care Compare)

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

Hospital & facility affiliations

  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317
  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20080508000165 CO Practitioner - Physician Assistant 4385723907 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2566COMDPhysician Assistant
6019995-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Jan 26, 2014 Accepting new patients
Grand River Hospital District CurrentSince Jan 4, 2017 Accepting new patients
Grand River Hospital District CurrentSince Jan 4, 2017 Accepting new patients
Valley View Hospital Association CurrentSince Jan 26, 2014 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Grand River Hospital District Past Accepting new patients

Locations

1450 E Valley Rd
Unit 201
Basalt, CO 81621
Phone (970) 927-1757

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6019995-1206 UT
Physician Assistant 363A00000X 2566 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

501 Airport Rd
Rifle, CO 81650-8510

Mailing address

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-1100

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
1018636OtherAAPA FELLOW ID
6019995-1206OtherUTPA STATE LICENSE NUMBER
12323701OtherCAQH
6019995-8906OtherUTPA CS SCHEDULE 2-5 LICENS
2566OtherCOCOLORADO STATE LICENSE

Other names 1

NPPES NPI Registry
  • Ms. Karen Marie Massey Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address kacampbell@qhndirect.org Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2020.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1376751024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6019995-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAPA FELLOW ID",
            "identifier": "1018636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "6019995-1206",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12323701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA CS SCHEDULE 2-5 LICENS",
            "identifier": "6019995-8906",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "2566",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kacampbell@qhndirect.org",
            "affiliation": "N",
            "endpointDescription": "Karen M Campbell Grand River Hospital DIRECT Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "501 Airport Rd",
            "city": "Rifle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816508510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MASSEY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.