Julie Ann Campbell, MD
Individual provider Active NPI Pediatric Rheumatology Physician · Missoula, MT
NPI 1578095808 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1578095808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Rheumatology Physician 2080P0216X
- License
- MED-PHYS-LIC-102405 (MT)
- Practice address
- 1821 South Ave W
Missoula, MT 59801-6517 - Phone
- (406) 493-0844
- Fax
- (406) 493-0841
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231107003289 | MT | Practitioner - Pediatric Medicine | 8224306378 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-102405 | MT | MD | Pediatrics Physician |
| 60756607 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current |
Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Past | Accepting new patients |
Locations
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
202 Conway Dr
Ste 200
Kalispell, MT 59901
Phone (406) 752-8433
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
1821 South Ave W
Ste 202
Missoula, MT 59801
Phone (406) 543-9200
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 60756607 | WA | |
| Pediatrics Physician | 208000000X | MED-PHYS-LIC-102405 | MT | |
| Pediatric Rheumatology Physician | 2080P0216X | MD61059666 | WA | |
| Pediatric Rheumatology Physician | 2080P0216X | MED-PHYS-LIC-102405 | MT | Yes |
Addresses
Primary practice location
1821 South Ave W
Missoula, MT 59801-6517
Mailing address
1821 South Ave W Ste 202
Missoula, MT 59801-6518
Phone (406) 493-0844
Other practice location 1
310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 752-5111
Other practice location 2
801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-5800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc | |
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Other providers in Missoula, MT
- Isabella Grace Callis
- Dusty Ann Marie Caluori
- Alicia A Camel
- Audrey Campbell
- Danielle Campbell
- Kendra Lynn Campbell
- Kimberly Brown Campbell
- Delia C Campfield
- Roy W. Campfield
- Stacie Leigh Campo
All providers in Missoula, MT · Pediatric Rheumatology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.