Nicole Campbell, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Nicole Campbell, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Baltimore, Maryland. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Erickson Health Medical Group Of Maryland, Pc and her current practice location is 8800 Walther Blvd, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 882-3240.

Nicole Campbell is licensed to practice in Maryland (license number R192782) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205283009.

Contact Information

	Nicole Campbell, CRNP
	8800 Walther Blvd, Baltimore, MD 21234
	(410) 882-3240
	(410) 661-5093

Map and Direction

Provider's Profile

Full Name	Nicole Campbell
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	8800 Walther Blvd, Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Campbell graduated from nursing school in 2015

NPI Data:

NPI Number: 1205283009
Provider Enumeration Date: 05/21/2016
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8527352368
Enrollment ID: I20160802002278

Medical Identifiers

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

Identifier	Type	State	Issuer
1205283009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R192782 (Maryland)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	R192782 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gilchrist Hospice Care	Hunt valley, MD	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Erickson Health Medical Group Of Maryland, Pc	2860304136	37

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. Nicole Campbell allows following entities to bill medicare on her behalf.

Entity Name	Erickson Health Medical Group Of Maryland, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598816449 PECOS PAC ID: 2860304136 Enrollment ID: O20080528000404

Entity Name	Mdics Rehabilitative Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124313309 PECOS PAC ID: 4981861903 Enrollment ID: O20120206000334

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180117001189

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. Nicole 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
Nicole Campbell, CRNP 5730 Executive Dr Ste 230, Catonsville, MD 21228-1762 Ph: (410) 882-3240	Nicole Campbell, CRNP 8800 Walther Blvd, Baltimore, MD 21234 Ph: (410) 882-3240

Reviews and Comments

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Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
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Nicole Campbell, CRNP - Medicare Nurse Practitioner in Baltimore, MD