Individual provider Active NPI

Ashley Michelle Campbell, APRN-CNP

  • Family Nurse Practitioner
  • Ada, OK
National Provider Identifier
1790400281
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210149 Issued in OK
Practice address
1705 Cradduck Rd
Ada, OK 74820-9491
Phone
(580) 279-6313
NPI assigned
Oct 6, 2022
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 210149 OK Primary

Addresses

Primary practice location

1705 Cradduck Rd
Ada, OK 74820-9491

Mailing address

14017 County Road 3505
Ada, OK 74820-2783
Phone (580) 399-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240320001766 OK Practitioner - Nurse Practitioner 9931546470 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210149OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell Regional Hospital, Inc CurrentSince Feb 4, 2024 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Haskell Regional Hospital, Inc. Past Accepting new patients

Locations

1705 Cradduck Rd
Ada, OK 74820
Phone (580) 279-6313

1705 Cradduck Rd
Ste A
Ada, OK 74820
Phone (580) 279-6313

401 NW H St
Stigler, OK 74462
Phone (918) 967-4682

503 NW H St
Stigler, OK 74462
Phone (918) 967-0055

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.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1790400281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14017 COUNTY ROAD 3505",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202783",
            "telephone_number": "580-399-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CRADDUCK RD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748209491",
            "telephone_number": "580-279-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.