Cathie N Campbell, DNP,PMHNP-BC,GNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Grand Forks, ND
NPI 1447273255 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1447273255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R50899 (ND)
- Practice address
- 1521B 24TH Ave S Ste 203
Grand Forks, ND 58201-6775 - Phone
- (701) 885-7920
- Fax
- (701) 757-0859
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jems Healthcare LLC
Practice addresses (Care Compare)
1521 24TH Ave S
Suite 203
Grand Forks, ND 58201-6736
Phone (701) 885-7920
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210818002585 | ND | Practitioner - Nurse Practitioner | 8921993775 | Reassigns benefits to 1 organization |
| I20230601003116 | MN | Practitioner - Nurse Practitioner | 8921993775 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539050 | TX | MD | Gerontology Nurse Practitioner |
| R50899 | ND | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumen Physicians and Associates PLLC | Multi-Specialty | Past | Accepting new patients |
| Jems Geriatric Services, Inc. | Gerontology | Past | Accepting new patients |
| Christopher R Lockhart MD, PA | Multi-Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R50899 | ND | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | 539050 | TX | |
| Gerontology Nurse Practitioner |
363LG0600X | AP111274 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | R50899 | ND |
Addresses
Primary practice location
1521B 24TH Ave S Ste 203
Grand Forks, ND 58201-6775
Mailing address
1521B 24TH Ave S Ste 203
Grand Forks, ND 58201-6775
Phone (701) 885-7920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54433819 | Medicaid | NM | |
| 1482912 | Medicaid | ND | |
| 153607009 | Medicaid | TX | |
| 210880003 | Medicaid | ID | |
| NP8053 | Other | TX | BCBS PROVIDER |
Other providers in Grand Forks, ND
- Melanie Sue Cairns
- Cambian Behavioral Health PLLC
- Yara Letitia Cameron
- Benjamin Ray Campbell
- Cassie Campbell
- Hector O'Niel Campbell
- John A Campbell
- Sara Campbell
- Debra Camperud
- Kaylynn Campoverde
All providers in Grand Forks, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.