Stephanie Campbell, PMHNP-BC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1500 McAndrews Rd W Ste 100
Burnsville, MN 55337-4475

Phone

(952) 229-5349

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Serenity Behavioral Health and Wellness, LLCGroup PAC ID 7810308517, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Behavioral Health & Wellness LLC

  • Clinical Psychologist
  • Savage, MN
  • NPI 1750999546
  Medicare reassignment Care Compare group NPD
• Alliance Autism Center

  • Developmental Disabilities Clinic/Center
  • Burnsville, MN
  • NPI 1790350965
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1821852674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374475",
            "telephone_number": "952-229-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374475",
            "telephone_number": "952-229-5349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6375 W 143rd St",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782888",
            "country_code": "US",
            "telephone_number": "952-592-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "STEPHANIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11991",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus F Cabrera, MD
• Alexander Kenneth Calderone, MD
• Amelea Fay Caldwell
• Ellen Cameron
• Daniella L Campbell
• Kristin Canan, LICSW
• Adriana Canedo
• Carole Ann Caputa, COTA
• Car Seat Clinic LLC
• Molly Caradonna, PSY.D.

• Behavior Technician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.