Individual provider Active NPI

Hillary R Campbell, PA

  • Physician Assistant
  • Hazard, KY
National Provider Identifier
1518330596
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1908 N Main St
Hazard, KY 41701-2505
Phone
(606) 439-2662
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10001962A IN
Physician Assistant 363A00000X KY Primary

Addresses

Primary practice location

1908 N Main St
Hazard, KY 41701-2505

Mailing address

PO Box 959
Hazard, KY 41702-0959
Phone (606) 435-2961

Other identifiers 2

IdentifierTypeStateIssuer
PA2227OtherKYLICENSE KY
10001962AOtherINLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20171027001138 KY Practitioner - Physician Assistant 3779883798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain After Hours Clinic PSCGroup PAC ID 0547170102, 31 clinicians

Practice addresses (Care Compare)

1908 N Main St
Suite 120
Hazard, KY 41701-2503
Phone (606) 439-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. Physician Assistant CurrentSince Mar 7, 2020 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Sep 21, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Mar 7, 2020 Accepting new patients

Locations

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

1908 N Main St
Ste 120
Hazard, KY 41701

1908 N Main St
Hazard, KY 41701
Phone (606) 439-5057

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

214 Hospital Rd
Ste A
Whitesburg, KY 41858
Phone (606) 633-2255

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

Interoperability endpoints

  • Direct secure messaging: hillarycampbell@arh.medalliesdirect.net
  • Direct secure messaging: hillary.campbell@mahc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1518330596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020959",
            "telephone_number": "606-435-2961",
            "fax_number": "606-435-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012505",
            "telephone_number": "606-439-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HILLARY",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10001962A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE KY",
            "identifier": "PA2227",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "10001962A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.