Active NPI
Hillary R Campbell, PA
- Physician Assistant
- Hazard, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2227 | Other | KY | LICENSE KY |
| 10001962A | Other | IN | LICENSE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PSC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc. | Physician Assistant | Current | Accepting new patients |
| Mountain After Hours Clinic PSC | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | 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
- hillarycampbell@arh.medalliesdirect.net
- hillary.campbell@mahc.eclinicaldirectplus.com
- 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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
KY
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Surgery Physician
- Whitesburg, KY
- NPI 1497764401
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.