JACQUELINE CAMPBELL FNP-BC
NPI 1235909946
Nurse Practitioner in Jackson, KY

Q: What is Jacqueline Campbell's NPI number?

The NPI number for Jacqueline Campbell is 1235909946. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Q: What is Jacqueline Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 03, 2024PECOS EnrolledAccepts Medicare Assignment

1550 HIGHWAY 15 S STE 240, JACKSON, KY 41339(606) 824-5037(606) 824-5042 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jacqueline Campbell Fnp-bc NPPES

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

JACQUELINE CAMPBELL FNP-BC (NPI 1235909946) is an individual nurse practitioner in Jackson, Kentucky, licensed in Kentucky (1138494) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235909946

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE CAMPBELLCredential: FNP-BC

Location Address1550 HIGHWAY 15 S STE 240Jackson, KY 41339-0709

Mailing Address1550 Highway 15 S Ste 240Jackson, KY 41339-0709 · (606) 824-5037 · Fax (606) 824-5042

Phone(606) 824-5037

Fax(606) 824-5042

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 3, 2024

NPPES CertifiedJanuary 3, 2024

✔ NPI 1235909946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 1138494

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1550 HIGHWAY 15 S STE 240, Jackson, KY 41339

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Campbell Fnp-bc 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 ID2062859820

PECOS Enrollment IDI20240328001992

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Line Primary Care

3.6 mi

Rural Health

1550 HIGHWAY 15 S STE 240
Jackson, KY 41339

Reassigned Medicare billing, Kentucky enrollment
11 clinicians in this Medicare group

NPI 1609378132 (606) 568-1184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 4

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

COUNTY LINE PRIMARY CARE

Clinic/Center (Rural Health)

1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339

Breathitt County (606) 568-1184

MRS. MADISON HALEY TRENT APRN

Nurse Practitioner (Family)

1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339

Breathitt County (606) 824-5037

JERRY LEE CAMPBELL JR. APRN

Nurse Practitioner (Primary Care)

1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339

Breathitt County (606) 272-7533

VICEY ANN COMBS

Registered Nurse

1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339

Breathitt County (606) 824-5037

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 Jacqueline Campbell's NPI number?

The NPI number for Jacqueline Campbell is 1235909946. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Jacqueline Campbell located?

Jacqueline Campbell practices at 1550 Highway 15 S Ste 240, Jackson, KY 41339. The listed phone number is (606) 824-5037.

What is Jacqueline Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Campbell enrolled in Medicare?

Yes. Jacqueline 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.

Which organization bills Medicare for Jacqueline Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Campbell reassigns Medicare benefits to County Line Primary Care (Jackson, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Campbell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jacqueline 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 Jacqueline Campbell was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.