Individual provider Active NPI

Katherine Campbell, APRN

  • Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1487028122
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11014054 Issued in FL
Practice address
3012 Creekside CT
Sebring, FL 33875-4773
Phone
(863) 314-0020
NPI assigned
Nov 18, 2015
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11014054 FL Primary
Registered Nurse 163W00000X RN9373245 FL

Addresses

Primary practice location

3012 Creekside CT
Sebring, FL 33875-4773

Mailing address

4020 US Highway 27 N
Sebring, FL 33870-1333
Phone (863) 314-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, VA, LA, TN, GA, DC, SC, WV, AL10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20210809000257 FL Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 2 organizations
I20251231003316 KY Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260121004219 VA Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260210004215 LA Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260318003802 TN Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260409001788 GA Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260507003371 DC Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260603002812 SC Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260608002086 WV Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization
I20260617003277 AL Practitioner - Nurse Practitioner 6608270046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9373245FLMDRegistered Nurse
APRN11014054FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Dec 3, 2025 Accepting new patients
Monogram Health Professional Services of Florida LLC Nurse Practitioner CurrentSince Jan 22, 2024 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jan 23, 2026 Accepting new patients
American Institute of Dermatology PA CurrentSince Oct 4, 2021 Accepting new patients
Millennium Physician Group LLC Past Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

171 Webb Dr
Ste 1
Davenport, FL 33837
Phone (863) 421-4246

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3109 Medical Way
Sebring, FL 33870
Phone (863) 386-0786

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: katherine.campbell.1@22854.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1487028122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701333",
            "telephone_number": "863-314-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 CREEKSIDE CT",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338754773",
            "telephone_number": "863-314-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHERINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014054",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9373245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.