Individual provider Active NPI

Ashley Monroe Campbell, NP-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1679820419
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005748 Issued in NC
Practice address
2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone
(336) 200-7020
Fax
(336) 450-1843
NPI assigned
Aug 11, 2012
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005748 NC Primary

Addresses

Primary practice location

2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

2025 Frontis Plaza Blvd
Suite 120
Winston Salem, NC 27103-5663
Phone (336) 277-2200

Other identifiers 1

IdentifierTypeStateIssuer
7006322MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acampbell105504@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20121119000148 NC Practitioner - Nurse Practitioner 0749431872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 200-7020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005748NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC CurrentSince Jun 20, 2022 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jun 20, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

8601 Six Forks Rd
#I
Raleigh, NC 27615

2668 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 200-7020

Interoperability endpoints

  • Direct secure messaging: acampbell105504@direct.novanthealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1679820419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275655",
            "telephone_number": "336-200-7020",
            "fax_number": "336-450-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Frontis Plaza Blvd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035663",
            "country_code": "US",
            "telephone_number": "336-277-2200",
            "fax_number": "336-277-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ASHLEY",
        "middle_name": "MONROE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006322",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acampbell105504@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2025 Frontis Plaza Blvd",
            "address_2": "Suite 120",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.