MS. JEANETTE ELLEN CAMPBELL P.N.P.
NPI 1396700126
Nurse Practitioner - Pediatrics in Orchard Park, NY
About Ms. Jeanette Ellen Campbell P.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JEANETTE ELLEN CAMPBELL P.N.P. (NPI 1396700126) is an individual pediatrics provider in Orchard Park, New York, licensed in New York (380261) and active in the NPI registry since April 2006. She has opted out of Medicare through May 17, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Jeanette Ellen Campbell P.n.p. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2016 through May 17, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14127 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
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 Jeanette Campbell's NPI number?
The NPI number for Jeanette Campbell is 1396700126. It was assigned to this individual provider in the NPPES registry on April 17, 2006.
Where is Jeanette Campbell located?
Jeanette Campbell practices at 3560 N Buffalo St, Orchard Park, NY 14127. The listed phone number is (716) 662-8510.
What is Jeanette Campbell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jeanette Campbell enrolled in Medicare?
No. Jeanette Campbell has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jeanette Campbell was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Jeanette Ellen Campbell, P.N.P. · NPI 1396700126
Pediatrics physician in Orchard Park, New York. Individual provider, active in the CMS NPPES registry since April 17, 2006.
## Identity
- **NPI:** 1396700126 (Entity type: Individual)
- **Enumerated:** April 17, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 380261 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3560 N BUFFALO ST, Orchard Park, NY 14127-1934
- **Phone:** (716) 662-8510 · **Fax:** (716) 662-8574
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 26, 2007
- **Other identifiers:** Medicaid 01026324 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396700126) · Data from the CMS NPPES public registry.