CASSANDRA DEVOL CAMPBELL
NPI 1043770449
Pediatrics - Pediatric Cardiology in Madison, WI

Q: What is Cassandra Campbell's NPI number?

The NPI number for Cassandra Campbell is 1043770449. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Cassandra Campbell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since March 21, 2019PECOS Enrolled

1675 HIGHLAND AVE, MADISON, WI 53792(608) 915-0420 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2026, Mar 21, 2019 (2 updates tracked since 2019).

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About Cassandra Devol Campbell NPPES

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

CASSANDRA DEVOL CAMPBELL (NPI 1043770449) is an individual pediatric cardiology provider in Madison, Wisconsin, licensed in Pennsylvania (MD488269) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1043770449

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameCASSANDRA DEVOL CAMPBELL

Location Address1675 HIGHLAND AVEMadison, WI 53792-0002

Mailing Address3608 Richie RdVerona, WI 53593-9650 · (864) 633-9283

Phone(608) 915-0420

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateJune 6, 20262 updates tracked since enumeration

NPPES CertifiedJune 6, 2026

✔ NPI 1043770449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in PA · MD488269

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

1675 HIGHLAND AVE, Madison, WI 53792

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Devol Campbell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375876170

PECOS Enrollment IDI20250709003885

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.

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.

ERIN VAN SAMBEEK ERNST RN IBCLC

Registered Nurse (Lactation Consultant)