Active NPI
Kaitlin Elizabeth Campbell, FNP
- Family Nurse Practitioner
- Massillon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0040775
- Practice address
- 1149 Lincoln Way E
Massillon, OH 44646-6950 - Phone
- (330) 830-7900
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704348107 | MI | |
| Family Nurse Practitioner | 363LF0000X | 0040775 | OH | Primary |
Addresses
Primary practice location
1149 Lincoln Way E
Massillon, OH 44646-6950
Mailing address
1149 Lincoln Way E
Massillon, OH 44646-6950
Phone (616) 822-6890
Other practice location 1
2215 44th St SW
Wyoming, MI 49519-6439
Phone (616) 252-8300
Other names 1
- Kaitlin E Teichman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10383 42ND Ave
Allendale, MI 49401-8207
Phone (616) 252-6030
Hospital & facility affiliations
- University of Michigan Health - West
- Mary Free Bed Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0040775 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Single Specialty | Current | Accepting new patients |
| Metropolitan Hospital | Single Specialty | Past | Accepting new patients |
| Children'S Hospital Medical Center of Akron | Past | Accepting new patients | |
| Metropolitan Hospital | Single Specialty | Past | Accepting new patients |
| Children'S Hospital Medical Center of Akron | Single Specialty | Past | Accepting new patients |
Locations
10383 42nd Ave
Allendale, MI 49401
Phone (616) 252-6030
2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
Interoperability endpoints
- kteichman110751@direct.metrohealth.net
Organizations & group practices 5
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.
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
Single Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Wyoming, MI
- NPI 1336182542
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1831751650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 LINCOLN WAY E",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446466950",
"telephone_number": "616-822-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 LINCOLN WAY E",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446466950",
"telephone_number": "330-830-7900"
}
],
"practiceLocations": [
{
"address_1": "2215 44th St SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495196439",
"country_code": "US",
"telephone_number": "616-252-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704348107",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0040775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "TEICHMAN",
"middle_name": "E",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.