AMY MARIE CAMPBELL
NPI 1104507268
Physician Assistant - Medical in Davison, MI

Active since July 31, 2023PECOS Enrolled
1477 S STATE RD, DAVISON, MI 48423(799) 581-0564 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Marie Campbell NPPES

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

AMY MARIE CAMPBELL (NPI 1104507268) is an individual medical provider in Davison, Michigan and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104507268
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY MARIE CAMPBELL
Location Address1477 S STATE RDDavison, MI 48423-1911
Mailing Address1967 Howland BlvdWhite Lake, MI 48386-1857 · (586) 707-3305
Sole ProprietorNo
Enumeration DateJuly 31, 2023
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1104507268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1477 S STATE RD, Davison, MI 48423

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Marie Campbell 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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Urgent Care)
1477 S STATE RD
DAVISON, MI 48423

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 Amy Campbell's NPI number?

The NPI number for Amy Campbell is 1104507268. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Amy Campbell located?

Amy Campbell practices at 1477 S State Rd, Davison, MI 48423. The listed phone number is (799) 581-0564.

What is Amy Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amy Campbell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Campbell was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.