Individual provider Active NPI

Jennifer D Campbell, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1922165695
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052658 Issued in PA
Practice address
1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769
Phone
(877) 660-6777
Fax
(412) 359-8055
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052658 PA Primary

Addresses

Primary practice location

1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769
Phone (877) 660-6777

Other identifiers 2

IdentifierTypeStateIssuer
MA052658OtherPALICENSE
1072469OtherPAPA CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcampbell6595@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070205000410 PA Practitioner - Physician Assistant 9537161567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

1307 Federal St
Pittsburgh, PA 15212-4769

200 Quinn Dr
Pittsburgh, PA 15275-1055

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6500

3001 Cool Springs Dr
Pittsburgh, PA 15234-2033
Phone (412) 437-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA052658PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Mar 13, 2010 Accepting new patients
Allegheny Clinic CurrentSince Mar 13, 2010 Accepting new patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2419 State Ave
Ste 200
Coraopolis, PA 15108
Phone (412) 625-2625

3001 Cool Springs Dr
Pittsburgh, PA 15234
Phone (412) 267-5040

1307 Federal St
Fl Second
Pittsburgh, PA 15212
Phone (412) 359-3895

1307 Federal St
Ste 2
Pittsburgh, PA 15212
Phone (412) 330-4461

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Interoperability endpoints

  • Direct secure messaging: jcampbell6595@direct.ahn.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1922165695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA052658",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA CERTIFICATION",
            "identifier": "1072469",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcampbell6595@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St",
            "address_2": "Second Floor",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.