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

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 1

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

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 (826 clinicians)

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 Hospital · Hamilton, NJ · CCN 310110

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100 (apm)
Quality
57.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20200228001223 NJ Practitioner - Nurse Practitioner 4385071596 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00859000NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Emergency Medicine Associates, LLC Single Specialty Current
since Jun 8, 2023
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)CodeLicenseStatePrimary
Adult Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Tabernacle, NJ · Adult Health Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.