Kelley C Campbell, FNP-C - Medicare Nurse Practitioner in Three Rivers, MI

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Kelley C Campbell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Three Rivers, Michigan. Her current practice location is 701 S Health Pkwy, Three Rivers, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 278-1145.

Kelley C Campbell is licensed to practice in Michigan (license number 4704278865) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013468107.

Contact Information

Kelley C Campbell, FNP-C
701 S Health Pkwy,
Three Rivers, MI 49093-8352
(269) 278-1145
Not Available

Map and Direction




Provider's Profile

Full NameKelley C Campbell
GenderFemale
SpecialityNurse Practitioner - Family
Location701 S Health Pkwy, Three Rivers, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013468107
  • Provider Enumeration Date: 10/24/2016
  • Last Update Date: 03/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436430477
  • Enrollment ID: I20170105000263

Medical Identifiers

Medical identifiers for Kelley C Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013468107NPI-NPPES
1013468107MedicaidMI
MI7819100OtherMIMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704278865 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelley C Campbell allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group Promed
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478
Entity NameBronson South Haven Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174749170
PECOS PAC ID: 6204724834
Enrollment ID: O20040305001005
Entity NameThree Rivers Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720350903
PECOS PAC ID: 8729245584
Enrollment ID: O20140729001948

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley C Campbell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelley C Campbell, FNP-C
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-1088		Kelley C Campbell, FNP-C
701 S Health Pkwy,
Three Rivers, MI 49093-8352

Ph: (269) 278-1145

Reviews and Comments


Nurse Practitioner Nurses in Three Rivers, MI

Michelle Renee Hill, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Broadway St, Three Rivers, MI 49093
Phone: 269-273-9539    
Michael A Cell, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1021 Hill St Ste 300, Three Rivers, MI 49093
Phone: 269-858-3024    Fax: 269-273-9040
Anne E Davidhizar, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 721 6th Ave, Three Rivers, MI 49093
Phone: 269-273-1418    Fax: 269-273-3347
Samreen Kaur, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 517 S Erie St, Three Rivers, MI 49093
Phone: 269-273-8661    
Jill R Schaaf, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 S Health Parkway Ste 1, Three Rivers, MI 49093
Phone: 269-273-8557    Fax: 269-279-6461
Sarah E Born, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 517 Erie Street, Three Rivers, MI 49093
Phone: 800-427-1902    Fax: 419-531-2664

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.