Individual provider Active NPI

Christopher L Campbell, PA-C

  • Physician Assistant
  • Newburyport, MA
National Provider Identifier
1962983486
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7495 Issued in MA
Practice address
35 Storey Ave
Newburyport, MA 01950-1878
Phone
(978) 225-6607
NPI assigned
Aug 23, 2018
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7495 MA Primary

Addresses

Primary practice location

35 Storey Ave
Newburyport, MA 01950-1878

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other identifiers 1

IdentifierTypeStateIssuer
1389646MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201104001071 MA Practitioner - Physician Assistant 5193058436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 26, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 26, 2023 Accepting new patients
Patriot Urgent Care Professionals, PC CurrentSince Sep 1, 2020 Accepting new patients
Rcna1, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Urgent Care Operations PC CurrentSince Jan 1, 2021 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Sep 1, 2020 Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

50 Dodge St
Ste 104
Beverly, MA 01915
Phone (978) 922-2171

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

35 Storey Ave
Newburyport, MA 01950
Phone (978) 225-6607

129 Turnpike St
North Andover, MA 01845
Phone (978) 470-0800

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

111 New Hampshire Ave
Portsmouth, NH 03801

Interoperability endpoints

  • Direct secure messaging: ccampbell405592@direct.ynhh.org

Organizations & group practices 9

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1962983486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 STOREY AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501878",
            "telephone_number": "978-225-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1389646",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.