Individual provider Active NPI

Casey Melissa Campbell

  • Family Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1417595331
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
074417-23 Issued in NH
Practice address
172 Kinsley St
Nashua, NH 03060-3648
Phone
(603) 882-3000
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 074417-23 NH Primary

Addresses

Primary practice location

172 Kinsley St
Nashua, NH 03060-3648

Mailing address

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200928000927 MA Practitioner - Nurse Practitioner 0547689499 Reassigns benefits to 3 organizations
I20250324001608 NH Practitioner - Nurse Practitioner 0547689499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
Monadnock Community HospitalGroup PAC ID 7416933031, 67 clinicians

Practice addresses (Care Compare)

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital CurrentSince Sep 5, 2020 Accepting new patients
Henry Heywood Memorial Hospital Family Current Accepting new patients
Vibra Physicians LLC CurrentSince Jul 1, 2020 Accepting new patients
Monadnock Community Hospital CurrentSince May 1, 2025 Accepting new patients
Monadnock Community Hospital CurrentSince May 1, 2025 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Sep 5, 2020 Accepting new patients
Athol Memorial Hospital Incorporated Family CurrentSince Sep 5, 2020 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

Organizations & group practices 7

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 4

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1417595331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-632-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603648",
            "telephone_number": "603-882-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CASEY",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "074417-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.