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ANNIE CAMPBELL PA
NPI 1154414902
Physician Assistant - Surgical in Boise, ID

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
333 N 1ST ST, SUITE 120, BOISE, ID 83702(208) 381-7190(208) 381-7191 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annie Campbell Pa NPPES

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

ANNIE CAMPBELL PA (NPI 1154414902) is an individual surgical provider in Boise, Idaho and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1154414902
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANNIE CAMPBELLCredential: PA
Location Address333 N 1ST ST, SUITE 120Boise, ID 83702-6100
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-7190 · Fax (208) 381-7191
Phone(208) 381-7190
Fax(208) 381-7191
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 27, 2017
✔ NPI 1154414902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
333 N 1ST ST, Boise, ID 83702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annie Campbell Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193775013
PECOS Enrollment IDI20050128000264
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

WOMEN'S HEALTH ASSOCIATES, PLLC
Obstetrics & Gynecology
333 N 1ST ST, SUITE 240
BOISE, ID 83702
Ada County (208) 338-8900
PHILIPPE A. MASSER M.D.
Surgery (Vascular Surgery)
333 N 1ST ST, SUITE 280
BOISE, ID 83702
Ada County (208) 345-6545
ST LUKES REGIONAL MEDICAL CENTER
Clinic/Center (Medical Specialty)
333 N 1ST ST, SUITE 120
BOISE, ID 83702
Ada County (208) 344-3779
DR. MATTHEW W SCHOOLFIELD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
333 N 1ST ST, SUITE 280
BOISE, ID 83702
Ada County (208) 345-6545
SCOTT B BURNETT PA-C
Physician Assistant (Surgical)
333 N 1ST ST, SUITE 280
BOISE, ID 83702
Ada County (208) 345-6545
JORDAN D KEYES CST
Specialist/Technologist Cardiovascular
333 N 1ST ST, STE 280
BOISE, ID 83702
Ada County (208) 345-6545
MR. CALVIN THOMAS JEWELL MD
Surgery
333 N 1ST ST, SUITE 120
BOISE, ID 83702
Ada County (208) 381-7190
LORI RUMAN CRNP
Nurse Practitioner
333 N 1ST ST, SUITE 240
BOISE, ID 83702
Ada County (208) 338-8900

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 Annie Campbell's NPI number?

The NPI number for Annie Campbell is 1154414902. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Annie Campbell located?

Annie Campbell practices at 333 N 1st St Suite 120, Boise, ID 83702. The listed phone number is (208) 381-7190.

What is Annie Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Annie Campbell enrolled in Medicare?

Yes. Annie Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Annie Campbell accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Annie Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Annie Campbell affiliated with any hospitals?

According to CMS data, Annie Campbell is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St Luke's Elmore Medical Center and St Luke's Mccall.

When was this NPI record last updated?

The NPPES record for Annie Campbell was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.