Andrew Michael Campbell, RN
Individual provider Active NPI Registered Nurse · Arena, WI
NPI 1528010477 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1528010477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 94255-030 (WI)
- Practice address
- 410 Williams St
Arena, WI 53503-9685 - Phone
- (608) 712-0773
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94255-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 94255-030 | WI | Yes |
Addresses
Primary practice location
410 Williams St
Arena, WI 53503-9685
Mailing address
W7995 Drake Rd
Poynette, WI 53955-9786
Phone (608) 635-2274
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39967300 | Medicaid | WI |
Other providers in Arena, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.