MRS. LETARSHA ROULETTE CAMPBELL FNP
NPI 1205124310
Nurse Practitioner - Psychiatric/Mental Health in Clinton, LA

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
11990 JACKSON ST, CLINTON, LA 70722(225) 683-5292(225) 683-1310 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 7, 2021, Aug 30, 2016 (2 updates tracked since 2016).

About Mrs. Letarsha Roulette Campbell Fnp NPPES

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

MRS. LETARSHA ROULETTE CAMPBELL FNP (NPI 1205124310) is an individual psychiatric/mental health provider in Clinton, Louisiana, licensed in Louisiana (AP06289) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1205124310
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LETARSHA ROULETTE CAMPBELLCredential: FNP
Location Address11990 JACKSON STClinton, LA 70722-3210
Mailing Address80 Edward Wells LnGreensburg, LA 70441-4081 · (225) 405-5277
Fax(225) 683-1310
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 11, 2011
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1205124310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in LA · AP06289
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APO6289 (LA)
11990 JACKSON ST, Clinton, LA 70722

Other Identifiers 1

Medicaid2162748LA

Accepted 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

Mrs. Letarsha Roulette Campbell Fnp 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 ID4385814862
PECOS Enrollment IDI20110822000099
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70722 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
7%161 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%273 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%115 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%3,584 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%332 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
36%1,108 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,108 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%1,108 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%1,108 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
Counselor (Professional)
11990 JACKSON ST
CLINTON, LA 70722
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
Dietitian, Registered
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Nurse Practitioner (Family)
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Dentist (General Practice)
11990 JACKSON ST
CLINTON, LA 70722

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 Letarsha Campbell's NPI number?

The NPI number for Letarsha Campbell is 1205124310. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Letarsha Campbell located?

Letarsha Campbell practices at 11990 Jackson St, Clinton, LA 70722. The listed phone number is (225) 683-5292.

What is Letarsha Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Letarsha Campbell enrolled in Medicare?

Yes. Letarsha 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 Letarsha Campbell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Letarsha 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.

When was this NPI record last updated?

The NPPES record for Letarsha Campbell was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.