Andrea Nicole Campbell, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004082 Issued in VA

Practice address

133 Enterprise Dr
Danville, VA 24540-4071

Phone

(434) 792-2907

Fax

(434) 792-2542

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, MD, DC3 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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medstar Urgent Care, LLC

  dba MedStar PromptCare-Wheaton

  • Urgent Care Clinic/Center
  • Wheaton, MD
  • NPI 1871843409

  DC

  Medicare reassignment Care Compare group NPD
• Harcart Health Holdings, LLC

  dba Righttime Medical Care

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1912911215
  Medicare reassignment
• Medstar Urgent Care LLC

  dba MedStar PromptCare

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1902175870
  Medicare reassignment
• Medexpress Urgent Care Illinois, P.C.

  dba MedExpress Urgent Care - Downers Grove, 75th St

  • Urgent Care Clinic/Center
  • Downers Grove, IL
  • NPI 1922530047
  NPD
• Medexpress Urgent Care, PC - Michigan

  dba MedExpress Urgent Care - Jenison, Baldwin St

  • Urgent Care Clinic/Center
  • Jenison, MI
  • NPI 1164879607
  NPD
• Medexpress Urgent Care, PC - Oklahoma

  dba MedExpress Urgent Care - Tulsa, S Yale Ave

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1710371448
  NPD
• Medstar Urgent Care LLC

  • General Practice Physician
  • Lexington Park, MD
  • NPI 1275410474
  NPD
• Medstar Urgent Care LLC

  dba MMG Urgent Care

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1942623319
  NPD
• Medexpress Urgent Care, PC - Tennessee

  • Urgent Care Clinic/Center
  • Bristol, TN
  • NPI 1689931446
  NPD (past)
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1649514555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ENTERPRISE DRIVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411679",
            "telephone_number": "434-792-2907",
            "fax_number": "434-792-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ENTERPRISE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404071",
            "telephone_number": "434-792-2907",
            "fax_number": "434-792-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSES",
            "identifier": "0110004082",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odette Callender, MD
• Jennifer Dalton Calloway, LPC
• Calm Source, LLC (Anchor Point Health and Wellness)
• Caleb Calvert
• Amanda Wilmoth Campbell, LCSW
• Brooklyn Roberson Campbell, M.S., CF-SLP
• Courtney Lynn Campbell, FNP-C
• Joseph C Campbell Jr., M.D.
• Kathleen Ann Campbell, RN
• Tammy R Campbell

• Physician Assistant in Danville, VA
• Providers in Danville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.