Shernett N Campbell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0001129 Issued in DE

Practice address

114 Sandhill Dr Ste 101
Middletown, DE 19709-5805

Phone

(302) 378-4779

Fax

(302) 378-4789

NPI assigned

Mar 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• De Pacs 2 PA

  • Hospitalist Physician
  • Hockessin, DE
  • NPI 1457837981
  Medicare reassignment NPD
• Delaware Post Acute Medical Services 1

  • Hospitalist Physician
  • Wilmington, DE
  • NPI 1801325717
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  DE

  Medicare reassignment NPD
• Health First Medical Care

  • Nurse Practitioner
  • Bear, DE
  • NPI 1669020582
  Medicare reassignment

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1891290789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE",
            "address_2": "BLDG: H, SUITE: 100 MSC 11607-0002",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232857",
            "telephone_number": "954-835-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SANDHILL DR STE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095805",
            "telephone_number": "302-378-4779",
            "fax_number": "302-378-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHERNETT",
        "middle_name": "N",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LG-0001129",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calm Family Dental. LLC
• Kevin P Calvey, PT
• Sofia Cameron, NP
• Camp Chiropractic, Inc.
• Trent Alexander Camp, D.C.
• Darrin George Campo, M.D.
• Consetta Antoinette Canales, LPCMH
• Josefina Luisa Cancino, MD
• Kya N Cardwell
• Carebridge Health Systems Inc.

• Family Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.