Individual provider Active NPI

Julie Ann Campbell, MD

  • Pediatric Rheumatology Physician
  • Missoula, MT
National Provider Identifier
1578095808
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
MED-PHYS-LIC-102405 Issued in MT
Practice address
1821 South Ave W
Missoula, MT 59801-6517
Phone
(406) 493-0844
Fax
(406) 493-0841
NPI assigned
Mar 27, 2017
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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 2

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107003289 MT Practitioner - Pediatric Medicine 8224306378 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-102405MTMDPediatrics Physician
60756607WAMDPediatrics Physician
MD61059666WAMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Mar 25, 2024 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Oct 9, 2023 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Mar 25, 2024 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Oct 9, 2023 Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

202 Conway Dr
Ste 200
Kalispell, MT 59901
Phone (406) 752-8433

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

1821 South Ave W
Ste 202
Missoula, MT 59801
Phone (406) 543-9200

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1578095808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SOUTH AVE W STE 202",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016518",
            "telephone_number": "406-493-0844",
            "fax_number": "406-493-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016517",
            "telephone_number": "406-493-0844",
            "fax_number": "406-493-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-752-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60756607",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-102405",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "WA",
            "license": "MD61059666",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "MT",
            "license": "MED-PHYS-LIC-102405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "1821 South Ave W",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598016517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "202 Conway Dr Ste 200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.