Individual provider Active NPI

Amelia Mae Campbell, AGPCNP-BC

  • Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1750762142
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP7868 Issued in AZ
Practice address
3035 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2160
Phone
(623) 295-4906
NPI assigned
Jun 11, 2015
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 AP7868 AZ Primary

Addresses

Primary practice location

3035 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2160

Mailing address

1301 E McDowell Rd
Ste 100
Phoenix, AZ 85006-2605
Phone (602) 254-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150819008008 AZ Practitioner - Nurse Practitioner 7810202843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1301 E McDowell Rd
Suite 100
Phoenix, AZ 85006-2605
Phone (602) 254-6879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7868AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Aug 11, 2015 Accepting new patients
Arizona Pain Treatment Center, P C CurrentSince Feb 22, 2021 Accepting new patients
Arizona Pain Treatment Center P C Current Accepting new patients
Innovative Pain and Wellness PLC CurrentSince Dec 21, 2023 Accepting new patients
Innovative Pain and Wellness PLC CurrentSince Dec 21, 2023 Accepting new patients
Brian S Page DO LLC CurrentSince Aug 11, 2015 Accepting new patients
Desert Dreams Anesthesia, PLLC Past Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

3035 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (623) 295-4906

4860 E Baseline Rd
Ste 103
Mesa, AZ 85206
Phone (602) 254-6879

6553 E Baywood Ave
Ste 201
Mesa, AZ 85206
Phone (480) 206-7242

1301 E McDowell Rd
Ste 100
Phoenix, AZ 85006
Phone (602) 254-6879

2701 N 16th St
Ste 111
Phoenix, AZ 85006
Phone (480) 620-1687

3201 W Peoria Ave
Ste D804
Phoenix, AZ 85029
Phone (523) 295-4905

4140 N 108th Ave
Ste 134
Phoenix, AZ 85037
Phone (623) 295-4901

8805 N 23rd Ave
Ste 120
Phoenix, AZ 85021
Phone (602) 254-6879

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone (480) 306-7242

5425 E Bell Rd
Ste 115
Scottsdale, AZ 85254
Phone (480) 467-2273

Organizations & group practices 7

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1750762142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E MCDOWELL RD",
            "address_2": "STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062605",
            "telephone_number": "602-254-6879",
            "fax_number": "602-265-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S ELLSWORTH RD",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122160",
            "telephone_number": "623-295-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMELIA",
        "middle_name": "MAE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.