Jan L Campbell, M.D.
Individual provider Active NPI Psychiatry Physician · Kansas City, KS
NPI 1801816780 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1801816780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 04-26766 (KS)
- Practice address
- University of Kansas Medical Ctr
3901 Rainbow Blvd, Ms 4015
Kansas City, KS 66160-0001 - Phone
- (913) 588-6493
- Fax
- (913) 588-6414
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Missouri, Kansas City, School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041115000828 | KS | Practitioner - Psychiatry |
8921062415 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21528 | IA | MD | Psychiatry Physician |
| 04-26766 | KS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Psychiatry | Current | Accepting new patients |
| Kansas University Physicians Inc | Psychiatry | Current |
Accepting new patients |
| Kansas University Physicians Inc | Current |
Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
3901 Rainbow Blvd
#4015
Kansas City, KS 66160
Phone (913) 588-6400
Interoperability endpoints
- jcampbell3815@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 04-26766 | KS | Yes |
| Psychiatry Physician | 2084P0800X | 21528 | IA | |
| Addiction Psychiatry Physician | 2084P0802X | R5H10 | MO |
Addresses
Primary practice location
University of Kansas Medical Ctr
3901 Rainbow Blvd, Ms 4015
Kansas City, KS 66160-0001
Mailing address
University of Kansas Medical Ctr
3901 Rainbow Blvd, Ms 4015
Kansas City, KS 66160-0001
Phone (913) 588-6493
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100424720A | Medicaid | KS | |
| 205918303 | Medicaid | MO |
Other providers in Kansas City, KS
- Kaylan Campain
- Andrea Campbell
- Chantille Campbell
- Christine J Campbell
- Cole Campbell
- Kimberly Sue Campbell
- Kylie Campbell
- Allison Ann Campion
- Natalie Elise Canale
- Dominic Christian Cancino
All providers in Kansas City, KS · Psychiatry Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. 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.