NPIMap

Organization Active NPI

Hollie and Bryon Campbell NP in Pediatrics and PA PLLC

  • Clinic/Center
  • Webster, NY
National Provider Identifier
1942178165
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC
Practice address
60 Barrett Dr
Webster, NY 14580-2963
Phone
(585) 872-1003
Fax
(585) 872-1004
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Hollie Elizabeth Campbell, NPNPI 1659868487
Title
Owner, NP
Phone
(585) 872-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Physician Assistant 363A00000X NU
Pediatric Nurse Practitioner 363LP0200X NU

Addresses

Primary practice location

60 Barrett Dr
Webster, NY 14580-2963

Mailing address

7 Teft Ave
Clifton Springs, NY 14432-1120
Phone (585) 260-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212002793 NY Part B Supplier - Clinic/Group Practice 9436639143 Receives reassigned benefits from 7 practitioners
Practice locations: Webster, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2343876Hollie and Bryon Campbell NP in Pediatrics and PA60 Barrett Drive Suite a, Webster, NY 14580Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

60 Barrett Dr
Ste A
Webster, NY 14580
Phone (585) 872-1003

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1942178165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TEFT AVE",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321120",
            "telephone_number": "585-260-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BARRETT DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802963",
            "telephone_number": "585-872-1003",
            "fax_number": "585-872-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, NP",
        "authorized_official_telephone_number": "585-872-1003",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.