Individual provider Active NPI

Scott Kerwin Campbell, NP

  • Nurse Practitioner
  • Paradise, CA
National Provider Identifier
1720183965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP9315 Issued in CA
Practice address
5734 Canyon View Dr
Paradise, CA 95969-5503
Phone
(530) 876-7995
Fax
(530) 876-2159
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Nurse Practitioner 363L00000X NP9315 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160420001360 CA Order and Referring Only - Nurse Practitioner 5991749046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP9315CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feather River Hospital PastSince Jun 12, 2011 Accepting new patients
Feather River Hospital Past Accepting new patients

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, 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720183965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 COACH LITE DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739151",
            "telephone_number": "530-876-7995",
            "fax_number": "530-876-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 CANYON VIEW DR",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695503",
            "telephone_number": "530-876-7995",
            "fax_number": "530-876-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SCOTT",
        "middle_name": "KERWIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP9315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.