Kelly Marie Campbell, APRN in Fort Pierce, FL

Kelly Marie Campbell, APRN is a medicare enrolled "Nurse Practitioner" in Fort Pierce, Florida. Her current practice location is 2402 Frist Blvd Ste 201, Fort Pierce, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 460-8838.

Kelly Marie Campbell is licensed to practice in Florida (license number 11027380) 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 1114616380.

Contact Information

	Kelly Marie Campbell, APRN
	2402 Frist Blvd Ste 201, Fort Pierce, FL 34950-4838
	(772) 460-8838
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Marie Campbell
Gender	Female
Speciality	Nurse Practitioner
Location	2402 Frist Blvd Ste 201, Fort Pierce, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114616380
Provider Enumeration Date: 05/03/2023
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6709249592
Enrollment ID: I20230827000102

Medical Identifiers

Medical identifiers for Kelly Marie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114616380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9267220 (Florida)	Secondary
363L00000X	Nurse Practitioner	11027380 (Florida)	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. Kelly Marie Campbell allows following entities to bill medicare on her behalf.

Entity Name	Broward Neurosurgeons Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366499618 PECOS PAC ID: 8123096690 Enrollment ID: O20040922000609

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. Kelly Marie 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 Address	Practice Location Address
Kelly Marie Campbell, APRN 4609 Sw Gossamer Cir, Palm City, FL 34990-1552 Ph: (561) 568-8404	Kelly Marie Campbell, APRN 2402 Frist Blvd Ste 201, Fort Pierce, FL 34950-4838 Ph: (772) 460-8838

Reviews and Comments

Nurse Practitioner Nurses in Fort Pierce, FL

Ms. Kelli Kraaz, ARNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946 Phone: 772-528-5991
Arielle Tango, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801
Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410
Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420
Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983
Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033
Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000

Kelly Marie Campbell, APRN - Medicare Nurse Practitioner in Fort Pierce, FL