Angel R Campbell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212275 Issued in OK

Practice address

1505 N Commerce St Ste 204
Ardmore, OK 73401-1859

Phone

(580) 798-6116

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Good Shepherd Hospice of Ardmore, LLC

  • Community Based Hospice Care Agency
  • Ardmore, OK
  • NPI 1194330811
  Medicare reassignment NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1447953666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 DEER CREEK RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017571",
            "telephone_number": "580-768-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N COMMERCE ST STE 204",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011859",
            "telephone_number": "580-798-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANGEL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Rodrigo Caero Romero, MD
• Kay Lynn Cagle, LPC CANDIDATE
• Miguel Antonio Camacho-Garrido, MD
• Henry Alexander Camp
• Alice Ann Campbell, CADC
• Rhonda R. Campbell, MS, LPC, NCC, CM-D
• Tara Dawn Campbell, LPC
• Danielle Cannon
• J'Maria Cecile Cannon, PHARM D.
• Jean Suzanne Cannon, M.D.

• Family Nurse Practitioner in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.