Active NPI
David Andrew Campbell, NP,BC
- Adult Health Nurse Practitioner
- Leavenworth, KS
National Provider Identifier
1396209201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 45685
- Practice address
- 421 Muncie Ter
Leavenworth, KS 66048-5025 - Phone
- (913) 702-4029
- NPI assigned
- Jan 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 45685 | KS | Primary |
Addresses
Primary practice location
421 Muncie Ter
Leavenworth, KS 66048-5025
Mailing address
254 Bald Eagle Way
Williamsburg, VA 23188-4022
Phone (913) 702-4029
Other practice location 1
1100 Executive Dr
Williamsburg, VA 23188
Phone (757) 258-4848
Other practice location 2
1100 Executive Dr
Williamsburg, VA 23188
Phone (757) 258-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45685 | KS | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
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": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1396209201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 BALD EAGLE WAY",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231884022",
"telephone_number": "913-702-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 MUNCIE TER",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485025",
"telephone_number": "913-702-4029"
}
],
"practiceLocations": [
{
"address_1": "1100 Executive Dr",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "23188",
"country_code": "US",
"telephone_number": "757-258-4848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Executive Dr",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "23188",
"country_code": "US",
"telephone_number": "757-258-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "NP,BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "45685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.