Individual provider Active NPI

Patricia L Campbell, CFNP

  • Family Nurse Practitioner
  • Macon, MS
National Provider Identifier
1689920209
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R856111 Issued in MS
Practice address
606 N Jefferson St
Macon, MS 39341-2242
Phone
(662) 726-4264
Fax
(662) 726-4204
NPI assigned
Aug 1, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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 R856111 MS Primary

Addresses

Primary practice location

606 N Jefferson St
Macon, MS 39341-2242

Mailing address

103 Elkin CT
Macon, MS 39341-2311
Phone (662) 726-9769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20130213000405 MS Practitioner - Nurse Practitioner 9133373459 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

Practice addresses (Care Compare)

78 Hospital Rd
Macon, MS 39341-2490
Phone (662) 726-4231

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noxubee General Critical Access Hospital CurrentSince Dec 15, 2012 Accepting new patients
Noxubee General Critical Access Hospital CurrentSince Dec 15, 2012 Accepting new patients
Noxubee General Critical Access Hospital Past Accepting new patients

Locations

3878 Jefferson St
Macon, MS 39341
Phone (601) 726-5831

606 N Jefferson St
Macon, MS 39341
Phone (601) 726-4231

78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231

78 Hospital Rd
Ste 1
Macon, MS 39341

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1689920209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ELKIN CT",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412311",
            "telephone_number": "662-726-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N JEFFERSON ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412242",
            "telephone_number": "662-726-4264",
            "fax_number": "662-726-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R856111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MS

Sources for this page

Verify at the official NPI Registry.