MRS. KELLY S CAMPBELL ANP-BC
NPI 1023395118
Nurse Practitioner in Summit, WI

Q: What is Kelly Campbell's NPI number?

The NPI number for Kelly Campbell is 1023395118. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Q: What is Kelly Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Campbell was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2011PECOS Enrolled

36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 29, 2021, Feb 17, 2020 (2 updates tracked since 2020).

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About Mrs. Kelly S Campbell Anp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY S CAMPBELL ANP-BC (NPI 1023395118) is an individual nurse practitioner in Summit, Wisconsin, licensed in Wisconsin (4687) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1023395118

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KELLY S CAMPBELLCredential: ANP-BC

Location Address36500 AURORA DRSummit, WI 53066-4899

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2377

Phone(262) 434-1000

Sole ProprietorNo

Enumeration DateNovember 3, 2011

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1023395118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 4687

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

36500 AURORA DR, Summit, WI 53066

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Secondary Practice Location 1

Location 11834 W Wisconsin Ave, Suite 100Milwaukee, WI 53233-2125 · Phone (414) 933-9100 · Fax (414) 933-9200

Other Identifiers 1

Medicaid100018593WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly S Campbell Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Medical Group Inc

23 mi

Pediatrics

9000 W WISCONSIN AVE, MS 958
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Children's Medical Group Inc
10 clinicians in this Medicare group

NPI 1790732410 (414) 266-7615

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIJAN NEZAMI

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

KEVIN L EGGLESTON M.D.

Hospitalist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-4711

KODY LEWIS PA C

Physician Assistant

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

REBECCA M STRIET M.D.

Preventive Medicine (Undersea and Hyperbaric Medicine)

36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066

Waukesha County (262) 434-5000

REBECCA SUSA DPT, ATC-L

Physical Therapist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-2600

VIJAY JOHNSON M.D

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

DR. BRETT MCLACHLAN M.D.

Emergency Medicine

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

MRS. LEA VAN HEULE CAA

Anesthesiologist Assistant

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Campbell's NPI number?

The NPI number for Kelly Campbell is 1023395118. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Kelly Campbell located?

Kelly Campbell practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Kelly Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Campbell enrolled in Medicare?

Yes. Kelly Campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Campbell reassigns Medicare benefits to Childrens Medical Group Inc (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Campbell was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.