Individual provider Active NPI

Stormi Renee Campbell, FNP- C

  • Family Nurse Practitioner
  • Waelder, TX
National Provider Identifier
1760100713
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1087021 Issued in TX
Practice address
1818 E US Highway 90
Waelder, TX 78959-4001
Phone
(830) 788-7280
Fax
(830) 541-5561
NPI assigned
Aug 16, 2022
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 1087021 TX Primary

Addresses

Primary practice location

1818 E US Highway 90
Waelder, TX 78959-4001

Mailing address

1818 E US Highway 90
Waelder, TX 78959-4001
Phone (830) 788-7280

Other practice location 1

1110 N Sarah DeWitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-8502

Other practice location 2

207 W 7th St
Shiner, TX 77984-5873
Phone (361) 239-5015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scampbell@gonzalesys.cernerdirect.com Direct

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
I20230127001306 TX Practitioner - Nurse Practitioner 3971974031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 Swift St
Refugio, TX 78377-2425
Phone 3615262321138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1087021TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Oct 25, 2022 Accepting new patients
Refugio County Memorial Hospital District CurrentSince Apr 12, 2025 Accepting new patients
Refugio County Memorial Hospital District CurrentSince Apr 12, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (718) 534-0869

107 Swift St
Refugio, TX 78377
Phone (361) 526-2321

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 4

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.

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1760100713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E US HIGHWAY 90",
            "city": "WAELDER",
            "state": "TX",
            "postal_code": "789594001",
            "telephone_number": "830-788-7280",
            "fax_number": "830-541-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E US HIGHWAY 90",
            "city": "WAELDER",
            "state": "TX",
            "postal_code": "789594001",
            "telephone_number": "830-788-7280",
            "fax_number": "830-541-5561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Sarah DeWitt Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293311",
            "country_code": "US",
            "telephone_number": "830-672-8502",
            "fax_number": "830-541-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Shiner",
            "state": "TX",
            "postal_code": "779845873",
            "country_code": "US",
            "telephone_number": "361-239-5015",
            "fax_number": "361-239-5014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "STORMI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1087021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scampbell@gonzalesys.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1818 E US Highway 90",
            "city": "Waelder",
            "state": "TX",
            "country_code": "US",
            "postal_code": "789594001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waelder, TX

Sources for this page

Verify at the official NPI Registry.