Lorie Campbell
Individual provider Active NPI Family Nurse Practitioner · Chesterfield, MO
NPI 1831552728 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1831552728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2016001666 (MO)
- Practice address
- 224 S Woods Mill Rd Ste 410S
Chesterfield, MO 63017-3605 - Phone
- (636) 685-7795
- Fax
- (314) 590-5959
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Health Care St Louis
Practice addresses (Care Compare)
711 Veterans Memorial Pkwy
Suite 100
Saint Charles, MO 63303-2106
Phone (636) 669-2211
Hospital & facility affiliations
- SSM St Joseph Health Center
- SSM Health Depaul Hospital St Louis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20160420000206 | MO | Practitioner - Nurse Practitioner | 2567760820 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016001666 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current |
Accepting new patients | |
| SSM Health Care St. Louis | Current |
Accepting new patients | |
| Southeastern Physician Services PC | Current |
Accepting new patients | |
| Ipc Pac Healthcare Services of Missouri Inc | Current |
Accepting new patients | |
| SSM Health Care St Louis | Current |
Accepting new patients | |
| SSM St. Charles Clinic Medical Group, Inc. | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
5194 Jeremiah Blvd
Hillsboro, MO 63050
Phone (636) 543-2328
400 Medical Plz
Ste 200
Lake St Louis, MO 63367
Phone (636) 625-2662
300 Medical Plz
Ste 310
Lake St Louis, MO 63367
Phone (314) 291-6556
300 Medical Plz
Ste 31
Lake St Louis, MO 63367
Phone (636) 625-2662
1002 Peruque Crossing Ct
Ste 101
O Fallon, MO 63366
Phone (636) 294-5900
711 Veterans Memorial Pkwy
Ste 100
Saint Charles, MO 63303
Phone (314) 989-6838
1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
2050 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 866-2460
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
172 Professional Pkwy
Troy, MO 63379
Phone (636) 462-6106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016001666 | MO | Yes |
Addresses
Primary practice location
224 S Woods Mill Rd Ste 410S
Chesterfield, MO 63017-3605
Mailing address
224 S Woods Mill Rd Ste 410S
Chesterfield, MO 63017-3605
Phone (636) 685-7795
Other practice location 1
172 Professional Pkwy
Troy, MO 63379-2823
Phone (636) 625-2662
Other practice location 2
17204 Lafayette Trails Dr
Wildwood, MO 63038-1386
Phone (636) 294-5900
Other practice location 3
300 Medical Plz Ste 310
Lake St Louis, MO 63367-1484
Phone (636) 625-2662
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcampbell16029@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Chesterfield, MO
- Dorothy Cambron
- Gary Hubert Campbell
- J William Campbell
- Jesica Campbell
- Kimberli Louise Campbell
- Paige Campbell
- Jennifer Diana Canale
- Marcos Christian Candia
- Michael E Cannon
- Colleen O Card
All providers in Chesterfield, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. 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.