Individual provider Active NPI

Victoria Michelle Campbell, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1831729193
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144808 Issued in TX
Practice address
1304 W Texas Ave
Midland, TX 79701-6176
Phone
(432) 599-9580
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 836926 TX
Family Nurse Practitioner 363LF0000X AP144808 TX Primary

Addresses

Primary practice location

1304 W Texas Ave
Midland, TX 79701-6176

Mailing address

1304 W Texas Ave
Midland, TX 79701-6176
Phone (432) 599-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210302000302 TX Practitioner - Nurse Practitioner 8921414889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
836926TXMDRegistered Nurse
AP144808TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Texas Specialty Clinic Past Accepting new patients

Locations

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

13988 Diplomat Dr
Ste 100C
Farmers Branch, TX 75234
Phone (972) 210-0033

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

2300 W Michigan Ave
Ste 3
Midland, TX 79701

4311 Andrews Hwy
Midland, TX 79703
Phone (432) 520-5600

1304 W Texas Ave
Midland, TX 79701
Phone (432) 262-2660

2300 W Michigan Ave
Ste 8
Midland, TX 79701
Phone (432) 570-6000

2300 W Michigan Ave
Ste 7
Midland, TX 79701
Phone (432) 218-7499

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1831729193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016176",
            "telephone_number": "432-599-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016176",
            "telephone_number": "432-599-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "VICTORIA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "836926",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.