MARYELLEN CAMPBELL
NPI 1184329658
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Q: What is Maryellen Campbell's NPI number?

The NPI number for Maryellen Campbell is 1184329658. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Maryellen Campbell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 03, 2023PECOS Enrolled

1505 SW ARCHER RD, GAINESVILLE, FL 32608(352) 265-0111 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maryellen Campbell NPPES

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

MARYELLEN CAMPBELL (NPI 1184329658) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184329658

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARYELLEN CAMPBELL

Location Address1505 SW ARCHER RDGainesville, FL 32608-1134

Mailing AddressPo Box 100236Gainesville, FL 32610-0236 · (352) 273-5550

Phone(352) 265-0111

Sole ProprietorNo

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1184329658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1505 SW ARCHER RD, Gainesville, FL 32608

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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)

Maryellen 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.

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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.

DR. ELIZABETH BAUMANN MD

Psychiatry & Neurology (Neurology)