1. Home
  2. Directory
  3. Maine
  4. South Portland
  5. Nurse Practitioner
  6. NPI Profile

MELANIE ELIZABETH CAMPBELL ATC, FNP-C
NPI 1235481110
Nurse Practitioner - Family in South Portland, ME

Active since October 03, 2012PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
119 GANNETT DR, SOUTH PORTLAND, ME 04106(207) 773-0040 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Apr 11, 2018, Mar 9, 2018 and 1 more (4 updates tracked since 2015).

About Melanie Elizabeth Campbell Atc, Fnp-c NPPES

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

MELANIE ELIZABETH CAMPBELL ATC, FNP-C (NPI 1235481110) is an individual family provider in South Portland, Maine, licensed in Maine (CNP1511148) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235481110
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE ELIZABETH CAMPBELLCredential: ATC, FNP-C
Location Address119 GANNETT DRSouth Portland, ME 04106-6942
Mailing Address190 Riverside St Unit 6bPortland, ME 04103-1073
Phone(207) 773-0040
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 3, 2012
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1235481110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ME · CNP1511148✔ Licensed in NY · F337589-1
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN58475 (ME)
119 GANNETT DR, South Portland, ME 04106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Melanie Elizabeth Campbell Atc, Fnp-c 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 ID8729232798
PECOS Enrollment IDI20160205001371
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 4

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
93 services56 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.
85 services69 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
41 services41 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.
26 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

NATALIE ALISON HUNT MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
STUART VASCHE BRAUN MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
KIRSTEN UELAND GALLERY PA
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
CARLEY SIMS ELDREDGE PT, DPT
Physical Therapist
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
TYLER GARDINER ATC
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
MISS RILEY MAE BILLINGS
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
MAINE CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-2642
KATHLEEN VIRGINIA LONERGAN PA-C
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040

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 Melanie Campbell's NPI number?

The NPI number for Melanie Campbell is 1235481110. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Melanie Campbell located?

Melanie Campbell practices at 119 Gannett Dr, South Portland, ME 04106. The listed phone number is (207) 773-0040.

What is Melanie Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melanie Campbell enrolled in Medicare?

Yes. Melanie 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 Melanie Campbell accept?

Health plans from Anthem Blue Cross and Blue Shield list Melanie 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 Melanie Campbell affiliated with any hospitals?

According to CMS data, Melanie Campbell is affiliated with Maine Medical Center, Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Campbell was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.