Active NPI
Audra V Campbell, ARNP
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3002535
- Practice address
- 3991 Dutchmans LN Ste 303
Louisville, KY 40207-4723 - Phone
- (502) 891-8300
- Fax
- (502) 891-8338
- NPI assigned
- Jan 5, 2007
- Last updated
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3002535 | LA | |
| Nurse Practitioner | 363L00000X | 3002535 | KY | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 3002535 | KY |
Addresses
Primary practice location
3991 Dutchmans LN Ste 303
Louisville, KY 40207-4723
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490
Other practice location 1
210 E Gray St
Suite 1000
Louisville, KY 40202-3906
Phone (502) 629-3972
Other practice location 2
210 E Gray St
Suite 1000
Louisville, KY 40202-3906
Phone (502) 629-3972
Other practice location 3
411 E Chestnut St Ste 4C
Louisville, KY 40202-1713
Phone (502) 559-1750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200474820 | Medicaid | IN | |
| 78003969 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acampbell138023@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- University of Washington School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3991 Dutchmans LN
Suite 303
Louisville, KY 40207-4723
Phone (502) 559-1750
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002535 | LA | MD | Nurse Practitioner |
| 3002535 | KY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children's Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Norton Childrens Medical Group, LLC | Nurse Practitioner | Past | Accepting new patients |
| University Children's Kidney Specialists, LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107
2412 Ring Rd
Ste 200
Elizabethtown, KY 42701
Phone (270) 763-8274
202 Limestone St S
Ste 1A
Frankfort, KY 40601
Phone (502) 223-8400
3991 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 559-1750
411 E Chestnut St
Ste 4C
Louisville, KY 40202
Phone (502) 394-5678
4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
916 DuPont Rd
Louisville, KY 40207
Phone (502) 454-7107
9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
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- Pediatric Nephrology Physician
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Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1396892949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3991 DUTCHMANS LN STE 303",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074723",
"telephone_number": "502-891-8300",
"fax_number": "502-891-8338"
}
],
"practiceLocations": [
{
"address_1": "210 E Gray St",
"address_2": "Suite 1000",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023906",
"country_code": "US",
"telephone_number": "502-629-3972",
"fax_number": "502-629-3975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 E Gray St",
"address_2": "Suite 1000",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023906",
"country_code": "US",
"telephone_number": "502-629-3972",
"fax_number": "502-629-3975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 E Chestnut St Ste 4C",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021713",
"country_code": "US",
"telephone_number": "502-559-1750",
"fax_number": "502-666-7707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "AUDRA",
"middle_name": "V",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "3002535",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3002535",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3002535",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200474820",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78003969",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acampbell138023@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "3991 Dutchmans Ln Ste 303",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074723",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "3991 Dutchmans Ln Ste 303",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.