Individual provider Active NPI

Cheryl Lynn Campbell, RN FNP

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1700960952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
667427 Issued in TX
Practice address
2701 Hospital Dr
Victoria, TX 77901
Phone
(361) 573-9181
Fax
(361) 582-5752
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 667427 TX Primary

Addresses

Primary practice location

2701 Hospital Dr
Victoria, TX 77901

Mailing address

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9181

Other names 1

  • Miss Cheryl Lynn Stastny Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050921000387 TX Practitioner - Nurse Practitioner 9133153992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

2603 Hospital Dr
Victoria, TX 77901-5753
Phone (361) 582-5685

2701 Hospital Dr
Victoria, TX 77901-5748

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen'S Medical Center County of Victoria Family CurrentSince Aug 1, 2014 Accepting new patients

Locations

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2603 Hospital Dr
Victoria, TX 77901
Phone (361) 576-2110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700960952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-573-9181",
            "fax_number": "361-582-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-573-9181",
            "fax_number": "361-582-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "667427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "STASTNY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "RN FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.