Stormi Renee Campbell, FNP- C
Individual provider Active NPI Family Nurse Practitioner · Bowie, TX
NPI 1760100713 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1760100713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1087021 (TX)
- Practice address
- 700 US-287 S
Bowie, TX 76230 - Phone
- (940) 872-2283
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Refugio County Memorial Hospital District
Practice addresses (Care Compare)
107 Swift St
Refugio, TX 78377-2425
Phone 3615262321138
Hospital & facility affiliations
- Refugio County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20230127001306 | TX | Practitioner - Nurse Practitioner | 3971974031 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1087021 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Current |
Accepting new patients | |
| Refugio County Memorial Hospital District | Current |
Accepting new patients | |
| Refugio County Memorial Hospital District | Current |
Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
250 Skillman St
Ste 202
Brooklyn, NY 11205
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1087021 | TX | Yes |
Addresses
Primary practice location
700 US-287 S
Bowie, TX 76230
Mailing address
700 US-287 S
Bowie, TX 76230
Phone (940) 872-2283
Other practice location 1
400 SW 25th Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891
Other providers in Bowie, TX
- Bowie SNF LLC
- Jana Marie Brady
- Cassandra Lynn Brookshire
- Amanda Leigh Burkhardt
- Sheri Lee Cameron
- Central Hospital of Bowie LP
- City of Bowie
- Shandrea Clark
- Thomas C Conder
- Andrew Crawford
All providers in Bowie, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. 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.