Individual provider Active NPI

Amber Campbell, ARNP

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1992841043
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007527 Issued in WA
Practice address
2612 Yelm Hwy SE
Olympia, WA 98501-4826
Phone
(360) 507-8146
Fax
(360) 839-2852
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007527 WA Primary

Addresses

Primary practice location

2612 Yelm Hwy SE
Olympia, WA 98501-4826

Mailing address

2612 Yelm Hwy SE
Olympia, WA 98501-4826
Phone (360) 507-8146

Other identifiers 1

IdentifierTypeStateIssuer
1038392MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070803000034 WA Practitioner - Nurse Practitioner 4284725375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Campbell ArnpGroup PAC ID 2668869470, 6 clinicians

Practice addresses (Care Compare)

2612 Yelm Hwy SE
Olympia, WA 98501-4826
Phone (360) 507-8146

Hospital & facility affiliations

  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP30007527WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a Dybbro Arnp LLC Family CurrentSince Mar 1, 2014 Accepting new patients
Amber Campbell Arnp Family CurrentSince Jul 1, 2022 Accepting new patients
Heather L Tramel Arnp LLC Past Accepting new patients

Locations

2612 Yelm Hwy SE
Olympia, WA 98501
Phone (360) 507-8146

200 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 459-7200

Interoperability endpoints

  • Direct secure messaging: amber.campbell@425647540273156.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1992841043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014826",
            "telephone_number": "360-507-8146",
            "fax_number": "360-839-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014826",
            "telephone_number": "360-507-8146",
            "fax_number": "360-839-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMBER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038392",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.