Ashley Keys Campbell, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F04180623 Issued in NC

Practice address

129 W. Main Street
Yadkinville, NC 27055-2705

Phone

(336) 677-3900

NPI assigned

Jun 28, 2018

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, OH, TX, LA4 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 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional NC PLLCGroup PAC ID 5799017943, 25 clinicians

Eleanor Health Professional la LLCGroup PAC ID 4587070008, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.campbell.1@21505.direct.athenahealth.com

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.

• Eleanor Health Professional NC, PLLC

  • Psychiatry Physician
  • Hickory, NC
  • NPI 1891349155
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional la, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Lafayette, LA
  • NPI 1265050736
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional Oh, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Akron, OH
  • NPI 1730782475
  Medicare reassignment NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • San Antonio, TX
  • NPI 1932854981
  Medicare reassignment NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Psychiatry Physician
  • Denver, CO
  • NPI 1891583480
  NPD
• Eleanor Health Professional FL PLLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1144940735
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1437644796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CAMERON HEIGHTS CIR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377818",
            "telephone_number": "828-430-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W. MAIN STREET",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270552705",
            "telephone_number": "336-677-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Cameron Heights Cir",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280377818",
            "country_code": "US",
            "telephone_number": "828-430-1574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 N Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281152355",
            "country_code": "US",
            "telephone_number": "704-360-8486",
            "fax_number": "704-230-4674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5932 Springboro Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454493250",
            "country_code": "US",
            "telephone_number": "866-402-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ASHLEY",
        "middle_name": "KEYS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F04180623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hosptial Professional Staff)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Physcians)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
• Matthew A Cain, PTA
• Cape Fear Regional Transport Inc (Miller Ambulance Service)
• Carolina Pharmacy Services (Yadkin Valley Pharmacy)
• Carolina Pharmacy Services (Yadkin Valley Pharmacy)
• Barbara Ann Carter, RN
• Connie Caudle, MSN, FNP-C

• Family Nurse Practitioner in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.