Individual provider Active NPI

Jasmine R Camp, A.P.N.

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1932442274
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012347A Issued in IN
Practice address
3800 Eli PL
Newburgh, IN 47630-7436
Phone
(855) 611-8783
NPI assigned
Apr 5, 2013
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17648 TN
Nurse Practitioner 363L00000X 71012347A IN Primary
Registered Nurse 163W00000X 188063 TN

Addresses

Primary practice location

3800 Eli PL
Newburgh, IN 47630-7436

Mailing address

415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (855) 611-8783

Other practice location 1

6015 Kratzville Rd
Evansville, IN 47710-4575
Phone (855) 611-8783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131202000379 TN Practitioner - Nurse Practitioner 1254567985 Reassigns benefits to 1 organization
I20220322000612 IN Practitioner - Nurse Practitioner 1254567985 Reassigns benefits to 1 organization
I20240126001522 KY Practitioner - Nurse Practitioner 1254567985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

10250 US Hwy 42
Union, KY 41091-9591
Phone (859) 384-1200

3800 Eli PL
The Village at Hamilton Pointe
Newburgh, IN 47630-7436
Phone (812) 858-5300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
188063TNMDRegistered Nurse
71012347AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
Physician Services of Middle Tennessee, LLC CurrentSince Jan 3, 2018 Accepting new patients
Patient Care LLC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

6015 Kratzville Rd
Evansville, IN 47710
Phone (812) 425-8182

4111 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 373-2111

3800 Eli Pl
Newburgh, IN 47630
Phone (812) 853-8863

10250 US Highway 42
Union, KY 41091
Phone (502) 525-6511

1250 Robinson Rd
Old Hickory, TN 37138
Phone (615) 390-6775

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1932442274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 26",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "855-611-8783",
            "fax_number": "224-236-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ELI PL",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307436",
            "telephone_number": "855-611-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6015 Kratzville Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477104575",
            "country_code": "US",
            "telephone_number": "855-611-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "JASMINE",
        "middle_name": "R",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17648",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012347A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "188063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.