Anne E Campbell
Individual provider Active NPI Nurse Practitioner · Upland, IN
NPI 1528559697 · NPPES record last updated Oct 26, 2018
Key facts
- NPI
- 1528559697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71008222A (IN)
- Practice address
- 1809 S Main Street
Upland, IN 46989 - Phone
- (765) 660-7520
- Fax
- (765) 671-3514
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Royale Internal Medicine LLC
US Therapy Inc
Practice addresses (Care Compare)
1910 W Royale Dr
Muncie, IN 47304-2264
Phone (765) 289-1011
3607 N Everbrook LN
Muncie, IN 47304-5220
Hospital & facility affiliations
- Centerwell Home Health
- Indiana University Health Ball Memorial Hospital
- Community Hospital of Anderson and Madison County
- Henry County Memorial Hospital
- Indiana University Health Jay, Inc.
- Reid Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180925003951 | IN | Practitioner - Nurse Practitioner | 2769733021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellcare Medical, LLC | Current | Accepting new patients | |
| Rainmaker Production Services, LLC | Current | Accepting new patients | |
| Lana Bucchino LLC | Current | Accepting new patients | |
| Royale Internal Medicine, LLC | Current |
Accepting new patients | |
| M & M Internal Medicine, LLC | Current | Accepting new patients |
Locations
1910 W Royale Dr
Muncie, IN 47304
Phone (765) 289-1011
Interoperability endpoints
- annecampbell@ia.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71008222A | IN | |
| Nurse Practitioner | 363L00000X | 71008222A | IN | Yes |
Addresses
Primary practice location
1809 S Main Street
Upland, IN 46989
Mailing address
330 N Wabash
Ste G20
Marion, IN 46952
Phone (765) 660-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300018710 | Medicaid | IN | |
| 00000199439 | Other | IN | ANTHEM |
Other providers in Upland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.