Individual provider Active NPI

Abigail Mae Campbell, PA-C

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1417612607
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7025 College Blvd Ste 200
Overland Park, KS 66211-1885
Phone
(913) 338-4515
Fax
(913) 338-4606
NPI assigned
Nov 3, 2021
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7025 College Blvd Ste 200
Overland Park, KS 66211-1885

Mailing address

7025 College Blvd Ste 200
Overland Park, KS 66211-1885
Phone (913) 338-4515

Other identifiers 1

IdentifierTypeStateIssuer
201039250AMedicaidOK

Other names 1

  • Abigail Mae Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 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
I20220120001715 OK Practitioner - Physician Assistant 7214329416 Reassigns benefits to 1 organization
I20251215001728 KS Practitioner - Physician Assistant 7214329416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4713OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Leawood Family Care, PA Family Medicine CurrentSince Aug 1, 2026 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Jan 12, 2026 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

7025 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 338-4515

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2100 W Iowa Ave
Ste A
Chickasha, OK 73018
Phone (405) 224-2100

Interoperability endpoints

  • Direct secure messaging: abigail.campbell.1@25062.direct.athenahealth.com
  • Direct secure messaging: acampbell@direct.gradymem.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1417612607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 COLLEGE BLVD STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111885",
            "telephone_number": "913-338-4515",
            "fax_number": "913-338-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 COLLEGE BLVD STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111885",
            "telephone_number": "913-338-4515",
            "fax_number": "913-338-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ABIGAIL",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201039250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "BROWN",
            "middle_name": "MAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.