Individual provider Active NPI

Audra V Campbell, ARNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1396892949
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002535 Issued in KY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200474820MedicaidIN
78003969MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227002316 KY Practitioner - Nurse Practitioner 0244220788 Reassigns benefits to 2 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
3002535LAMDNurse Practitioner
3002535KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner Current Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2018 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.

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

Verify at the official NPI Registry.