Deborah Ann Campbell, MSN
Individual provider Active NPI Family Nurse Practitioner · Towson, MD
NPI 1750375366 · NPPES record last updated Feb 12, 2009
Key facts
- NPI
- 1750375366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R063343 (MD)
- Practice address
- 1238 Putty Hill Ave
# 6
Towson, MD 21286-5844 - Phone
- (410) 823-2726
- NPI assigned
- Sep 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baltimore Medical System, Inc.
Practice addresses (Care Compare)
5525 Eastern Ave
Baltimore, MD 21224-2796
Phone (410) 558-4804
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20041230000198 | MD | Practitioner - Nurse Practitioner | 0042278194 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R063343 | MD | MD | Family Nurse Practitioner |
Interoperability endpoints
- deborah.campbell.p1@direct.bmsi.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R063343 | MD | Yes |
Addresses
Primary practice location
1238 Putty Hill Ave
# 6
Towson, MD 21286-5844
Mailing address
927 Mount Holly Dr
Annapolis, MD 21409-5123
Phone (410) 757-5544
Other names
- Deborah Ann Rose
Other providers in Towson, MD
- Calm-Haven Therapy, Inc
- Julia Angelina Calo
- Emily Cambronero
- Kristin Campaigne
- Alexis Campbell
- Jessica R Campbell
- Krystal Campbell
- Timothy Douglas Campbell
- Jeffrey Campodonico
- Janine Canaday
All providers in Towson, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2009. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.