Audrey Campbell
Individual provider Active NPI Adult Health Nurse Practitioner · Tabernacle, NJ
NPI 1669956884 · NPPES record last updated Sep 24, 2018
Key facts
- NPI
- 1669956884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00859000 (NJ)
- Practice address
- 111 New Rd
Tabernacle, NJ 08088-8549 - Phone
- (609) 284-2304
- NPI assigned
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rwjbh Emergency Medicine Associates, LLC
Practice addresses (Care Compare)
1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900
Hospital & facility affiliations
- Robert Wood Johnson University Hospital at Hamilton
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 57.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200228001223 | NJ | Practitioner - Nurse Practitioner | 4385071596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00859000 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Emergency Medicine Associates, LLC | Single Specialty | Current |
Accepting new patients |
| Absolute Outcomes, LLC | Single Specialty | Past | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | 26NJ00859000 | NJ | Yes |
Addresses
Primary practice location
111 New Rd
Tabernacle, NJ 08088-8549
Mailing address
111 New Rd
Tabernacle, NJ 08088-8549
Other providers in Tabernacle, NJ
- Michele Adams
- Dominique Alena Adornetto
- Apothecare Services
- Tyler Baer
- Bryan Brillhart
- Caringheartsmobiletesting
- Stacy Cassel
- Stephanie Cimoch
- Sharlene Demartini-Guth
- Erin Donoghue
All providers in Tabernacle, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.