Jennifer R Campbell, FPMHNP

Key facts

NPI

1508546219

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

2023020416 (MO)

Practice address

900 E Laharpe St
Kirksville, MO 63501-4520

Phone

(660) 665-1962

Fax

(660) 665-3989

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Preferred Family Healthcare, Inc Community/Behavioral Health Agency · Kirksville, MO · NPI 1649474206
  Medicare reassignment NPD MO
• Preferred Family Healthcare, Inc. Federally Qualified Health Center (FQHC) · Hannibal, MO · NPI 1306721709
  NPD
• Preferred Family Healthcare Substance Use Disorder Rehabilitation Clinic/Center · Macon, MO · NPI 1134252034
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Family Healthcare Inc (58 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Addresses

Other names

• Jennifer Williams Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2026.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1508546219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5214",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 S Halliburton St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014646",
            "country_code": "US",
            "telephone_number": "660-626-0698",
            "fax_number": "660-626-5872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "MO",
            "postal_code": "635522615",
            "country_code": "US",
            "telephone_number": "660-395-0111",
            "fax_number": "660-395-0113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Jamison St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635013943",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "fax_number": "660-627-0642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1628 Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646832565",
            "country_code": "US",
            "telephone_number": "660-359-4600",
            "fax_number": "660-359-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023020416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirksville, MO

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• Yania Calvo
• Carrie A. Campbell, LPC
• Karla Campbell
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• Amy Carroll
• Lynn Carter, IBCLC
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All providers in Kirksville, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri