MS. KELLEY RENEE CAMPBELL RN, FNP-BC
NPI 1245590074
Nurse Practitioner - Family in Alton, IL
About Ms. Kelley Renee Campbell Rn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLEY RENEE CAMPBELL RN, FNP-BC (NPI 1245590074) is an individual family provider in Alton, Illinois, licensed in Illinois (209009568) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Southern Illinois University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Ms. Kelley Renee Campbell Rn, 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.
Medicare Billing Reassignments
10Medicare enrollment records show Kelley Campbell reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 42 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 124 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 145 clinicians in this Medicare group
Staunton, IL 62088
- Reassigned Medicare billing, Illinois enrollment
- 121 clinicians in this Medicare group
Nashville, IL 62263
- Reassigned Medicare billing, Illinois enrollment
- 33 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- 69 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- 21 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 4 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 81 clinicians in this Medicare group
Chattanooga, TN 37403
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Southeastern Emergency Services Of Memphis PC
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Mary's Hospital -Centralia
Acute Care Hospitals · Centralia, ILWashington County Hospital
Critical Access Hospitals · Nashville, ILClay County Hospital
Critical Access Hospitals · Flora, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALTON, IL 62002
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 Kelley Campbell's NPI number?
The NPI number for Kelley Campbell is 1245590074. It was assigned to this individual provider in the NPPES registry on May 27, 2012.
Where is Kelley Campbell located?
Kelley Campbell practices at 1 Memorial Dr, Alton, IL 62002. The listed phone number is (618) 463-7474.
What is Kelley Campbell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelley Campbell enrolled in Medicare?
Yes. Kelley 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 organizations bill Medicare for Kelley Campbell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Campbell reassigns Medicare benefits to 10 organizations: Alton-Griffin Emergency Group PC (Alton, IL), Midwest Inpatient Anderson Health, Inc (Maryville, IL), Anderson Medical Group, LLC (Maryville, IL), Midwest Emergency Anderson Health, Inc (Staunton, IL), Washington County Hospital District (Nashville, IL) and 5 more organizations, listed in the Medicare section above. Each 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 Kelley Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Campbell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Kelley 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 Kelley Campbell affiliated with any hospitals?
According to CMS data, Kelley Campbell is affiliated with Ssm Health St Mary's Hospital -Centralia, Washington County Hospital and Clay County Hospital.
When was this NPI record last updated?
The NPPES record for Kelley Campbell was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Kelley Renee Campbell, RN, FNP-BC · NPI 1245590074
Family physician in Alton, Illinois. Individual provider, active in the CMS NPPES registry since May 27, 2012.
## Identity
- **NPI:** 1245590074 (Entity type: Individual)
- **Enumerated:** May 27, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209009568 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEMORIAL DR, Alton, IL 62002-6722
- **Phone:** (618) 463-7474 · **Fax:** (618) 463-7543
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Alton-Griffin Emergency Group PC (NPI 1891104824, Alton, IL); Midwest Inpatient Anderson Health, Inc (NPI 1821758608, Maryville, IL); Anderson Medical Group, LLC (NPI 1700807716, Maryville, IL); Midwest Emergency Anderson Health, Inc (NPI 1710647615, Staunton, IL); Washington County Hospital District (NPI 1659321560, Nashville, IL); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1245590074) · Data from the CMS NPPES public registry.