Individual provider Active NPI

Nunta Campbell, NP

  • Student in an Organized Health Care Education/Training Program
  • Statesville, NC
National Provider Identifier
1609259183
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RTL25-1269 Issued in NC
Practice address
557 Brookdale Dr
Statesville, NC 28677-4107
Phone
(704) 997-5525
Fax
(704) 998-5351
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RTL25-1269 NC Primary
Family Nurse Practitioner 363LF0000X 5007686 NC

Addresses

Primary practice location

557 Brookdale Dr
Statesville, NC 28677-4107

Mailing address

PO Box 2530
Davidson, NC 28036-2530
Phone (704) 997-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151001003051 NC Practitioner - Nurse Practitioner 4587972047 Reassigns benefits to 2 organizations
I20241002000085 IL Practitioner - Nurse Practitioner 4587972047 Reassigns benefits to 1 organization
I20250822000524 NC Practitioner - Internal Medicine 4587972047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Hospitalists LLCGroup PAC ID 1951702539, 46 clinicians
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

420 N Ctr St
Hickory, NC 28601-5033
Phone (828) 879-8419

738 Bryant St
Statesville, NC 28677-4189
Phone (704) 873-2219

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007686NCMDFamily Nurse Practitioner
RTL25-1269NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network, LLC CurrentSince Jul 1, 2025 Accepting new patients
Optimed Hospitalists CurrentSince Sep 1, 2015 Accepting new patients
DLP Frye Hospitalists LLC CurrentSince Jun 1, 2025 Accepting new patients
Stellar Home Network CurrentSince Jul 22, 2024 Accepting new patients
Optimed Hospitalists CurrentSince Sep 1, 2015 Accepting new patients
Iredell Physician Network, LLC PastSince Mar 26, 2023 Accepting new patients

Locations

3530 W Peterson Ave
Ste 201
Chicago, IL 60659
Phone (847) 261-2541

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

738 Bryant St
Statesville, NC 28677
Phone (704) 230-4382

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1609259183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280362530",
            "telephone_number": "704-997-5525",
            "fax_number": "704-998-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-997-5525",
            "fax_number": "704-998-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NUNTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "RTL25-1269",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.