Scott Kerwin Campbell, NP
Individual provider Active NPI Nurse Practitioner · Paradise, CA
NPI 1720183965 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720183965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP9315 (CA)
- Practice address
- 5734 Canyon View Dr
Paradise, CA 95969-5503 - Phone
- (530) 876-7995
- Fax
- (530) 876-2159
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20160420001360 | CA | Order and Referring Only - Nurse Practitioner | 5991749046 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP9315 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feather River Hospital | Past | Accepting new patients | |
| Feather River Hospital | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP9315 | CA | Yes |
Addresses
Primary practice location
5734 Canyon View Dr
Paradise, CA 95969-5503
Mailing address
3029 Coach Lite Dr
Chico, CA 95973-9151
Phone (530) 876-7995
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9315 | Other | CA | LICENSE |
Other providers in Paradise, CA
- Butte County Office of Education
- Diane Buuck
- Dana Burton Caldwell
- Jessica J Cameron
- Deborah Ann Campbell
- Michael Carden
- Vanesa Cardenas
- Dorothy A Carini
- Rachel Carlson
- Robert S Carter
All providers in Paradise, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.