Active NPI
Amber Campbell, CNP
- Family Nurse Practitioner
- Ontario, OH
National Provider Identifier
1891247441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.019967
- Practice address
- 715 Richland Mall
Ontario, OH 44906-3802 - Phone
- (419) 529-6195
- Fax
- (419) 529-9187
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.019967 | OH | Primary |
Addresses
Primary practice location
715 Richland Mall
Ontario, OH 44906-3802
Mailing address
700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 529-6195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149428 | Medicaid | OH |
Other names 1
- Amber Jennings
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acampbell491010@direct.osumc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161214001639 | OH | Practitioner - Nurse Practitioner | 6002196714 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Ohio Family Care Center Inc
Practice addresses (Care Compare)
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557
Hospital & facility affiliations
- Centerwell Home Health II
- Avita Home Health and Hospice
- Avita Ontario
- Galion Community Hospital
- Ohiohealth Mansfield Hospital
- James Cancer Hospital & Solove Research Institute
- Ohiohealth Shelby Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.019967 | OH | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
Hospital
-
- Home Health Agency
- Galion, OH
- NPI 1649385865
-
- Home Health Agency
- Ontario, OH
- NPI 1023318565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1891247441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N COLUMBUS ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271455",
"telephone_number": "419-529-6195",
"fax_number": "419-529-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 RICHLAND MALL",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449063802",
"telephone_number": "419-529-6195",
"fax_number": "419-529-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "AMBER",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.019967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149428",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acampbell491010@direct.osumc.edu",
"affiliation": "N",
"address_1": "715 Richland Mall",
"city": "Ontario",
"state": "OH",
"country_code": "US",
"postal_code": "449063802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMBER",
"last_name": "JENNINGS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.