Jessica Lynn Campbell, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R161181 Issued in MD

Practice address

33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413

Phone

(443) 716-8400

NPI assigned

May 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenfield Associates, M.D., P.a.Group PAC ID 4082662416, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Columbia, MD, CCN 217071

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Greenfield Associates, M.D., P.a.

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1396770996
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Columbia, MD
  • NPI 1922035880
  Care Compare affiliation

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1548798366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 WOODTREE CT W",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095411",
            "telephone_number": "443-949-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD STE 102-103",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "443-716-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R161181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Lynn Burton
• Sherry Lynn Butler, RPH
• Helene Toney Cain, L.C.S.W.-C
• Desaree Regina Callis
• Vera Calpeno, DVM
• Angela Campion, LCSW-C
• Kristen Canceran, LCSW-C
• Lyles Blalock Cannon III, MPT, MS
• Capital Care Anesthesia LLC
• Capital Care Anesthesia LLC

• Family Nurse Practitioner in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.

Verify at the official NPI Registry.