Individual provider Active NPI

Emilie Lillian Marguerite Campbell, FNP

  • Family Nurse Practitioner
  • Libby, MT
National Provider Identifier
1619734175
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-222667 Issued in MT
Practice address
209 Health Park Dr
Libby, MT 59923-2001
Phone
(406) 283-7000
NPI assigned
Mar 1, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-222667 MT Primary

Addresses

Primary practice location

209 Health Park Dr
Libby, MT 59923-2001

Mailing address

1916 N 860 W
Orem, UT 84057-8606
Phone (385) 214-0590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ID, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240730001696 MT Practitioner - Nurse Practitioner 1355888108 Reassigns benefits to 2 organizations
I20240731003420 ID Practitioner - Nurse Practitioner 1355888108 Reassigns benefits to 2 organizations
I20240801003326 WA Practitioner - Nurse Practitioner 1355888108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Ottawa, Faculty of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians

Practice addresses (Care Compare)

308 Louisiana Ave
Suite 2
Libby, MT 59923-2159
Phone (406) 283-6824

800 Alder St
South Bend, WA 98586-4900
Phone (360) 875-4502

826 Alder St
South Bend, WA 98586-4900
Phone (360) 875-5526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-222667MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 CurrentSince Aug 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Pacific County Hospital District 2 CurrentSince Aug 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Dec 31, 2024 Accepting new patients
St. John's Lutheran Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients

Locations

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

308 Louisiana Ave
Ste 2
Libby, MT 59923
Phone (406) 283-6824

350 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7000

350 Louisiana Ave
#A
Libby, MT 59923

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1619734175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N 860 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840578606",
            "telephone_number": "385-214-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HEALTH PARK DR",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232001",
            "telephone_number": "406-283-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EMILIE",
        "middle_name": "LILLIAN MARGUERITE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-222667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.