Melvin Allen Campbell, MD FACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12836 Issued in NE

Practice address

913 E Zero St
Ainsworth, NE 69210-0287

Phone

(402) 387-1900

Fax

(402) 387-0139

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f24ac13d-3953-486e-b046-3f6f7cc41dd9/

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Brown County Hospital

  • Rural Health Clinic/Center
  • Ainsworth, NE
  • NPI 1073861456

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Brown County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ainsworth, NE
  • NPI 1265450860

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Brown County Hospital

  • Critical Access Hospital
  • Ainsworth, NE
  • NPI 1760464283

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brown County Hospital

  • Emergency Medicine Physician
  • Ainsworth, NE
  • NPI 1417027210
  Medicare reassignment NPD
• Brown County Hospital

  • Critical Access Hospital
  • Ainsworth, NE
  • NPI 1760464283
  Medicare reassignment NPD
• Ainsworth Family Clinic, P.C.

  • Internal Medicine Physician
  • Ainsworth, NE
  • NPI 1083632533
  NPD
• Brown County Hospital

  • Rural Health Clinic/Center
  • Ainsworth, NE
  • NPI 1073861456
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770529190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692100287",
            "telephone_number": "402-387-1900",
            "fax_number": "402-387-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E ZERO ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692100287",
            "telephone_number": "402-387-1900",
            "fax_number": "402-387-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MELVIN",
        "middle_name": "ALLEN",
        "credential": "MD FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "12836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER",
            "identifier": "080028209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE LICENSE",
            "identifier": "12836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055072313",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702980",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "02754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brown County Hospital
• Kimberly Buckendahl, MS, CCC-SLP
• Christina Buckles
• Susan Joan Buckley, NP
• Caitlin Butterfield
• Sara Ann Crisp, APRN, FNP-C
• Crystal G Dailey, APRN
• Dawn Family Practice LLC
• Devine Healthcare, LLC
• Elizabeth A. Devine, APRN

• Internal Medicine Physician in Ainsworth, NE
• Providers in Ainsworth, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.