Individual provider Active NPI

Kristen Campbell, ARNP

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1639514698
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9268075 Issued in FL
Practice address
2221 Town Center Ave
121
Melbourne, FL 32940-6102
Phone
(321) 456-5665
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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 9268075 FL Primary

Addresses

Primary practice location

2221 Town Center Ave
121
Melbourne, FL 32940-6102

Mailing address

936 Trinidad Rd
Cocoa Beach, FL 32931-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180411000032 FL Practitioner - Nurse Practitioner 3577826254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen Hornell MD PAGroup PAC ID 6103858105, 4 clinicians

Practice addresses (Care Compare)

333 E Sheridan Rd
Melbourne, FL 32901-3152
Phone (321) 724-9650

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9268075FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Hornell, MD, PA CurrentSince Nov 11, 2020 Accepting new patients
Health First Medical Group, LLC Past Accepting new patients

Locations

333 Sheridan Rd
Melbourne, FL 32901
Phone (321) 724-9650

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1639514698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 TRINIDAD RD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 TOWN CENTER AVE",
            "address_2": "121",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406102",
            "telephone_number": "321-456-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9268075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.