Marie Campbell, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Moorpark, CA
NPI 1841476801 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1841476801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17539 (CA)
- Practice address
- 145 Park LN
Suite 120
Moorpark, CA 93021-2113 - Phone
- (805) 552-0001
- NPI assigned
- Jan 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20090217000409 | CA | Practitioner - Nurse Practitioner | 6305901893 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17539 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Robles Emergency Physicians Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| West Hills Emergency Medical Associates, Inc | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Huntington Park Emergency Physicians, Inc | Current |
Accepting new patients | |
| Morin Medical Corp. | Past | Accepting new patients |
Locations
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855
7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17539 | CA | Yes |
Addresses
Primary practice location
145 Park LN
Suite 120
Moorpark, CA 93021-2113
Mailing address
145 Park LN
Suite 120
Moorpark, CA 93021-2113
Phone (805) 552-0001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Moorpark, CA
- Burts Pharmacy Moorpark
- Ca Ya Services LLC
- Ca Ya Services LLC
- California Kidney Medical Group, Inc
- Liliana Camacho
- Katrina Camus
- David Canale
- Kimberly Cano
- Carolyn Jean Carr
- Maria Teresa Casas
All providers in Moorpark, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.