KARNIKA HILL CAMPBELL
NPI 1457960494
Nurse Practitioner in Houston, TX

Active since July 27, 2020PECOS EnrolledAccepts Medicare Assignment
93.5/100
CMS Quality Rating
18220 STATE HIGHWAY 249, HOUSTON, TX 77070(346) 332-2794 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2025, Feb 17, 2022, Mar 16, 2021 and 2 more (5 updates tracked since 2020).

About Karnika Hill Campbell NPPES

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

KARNIKA HILL CAMPBELL (NPI 1457960494) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1025611) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457960494
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKARNIKA HILL CAMPBELL
Location Address18220 STATE HIGHWAY 249Houston, TX 77070-4347
Mailing Address12320 Barker Cypress Rd Ste 600-1019Cypress, TX 77429-8325 · (832) 479-4931 · Fax (832) 450-3038
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2020
Last NPPES UpdateMarch 4, 20255 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1457960494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1025611
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 889884 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1025611 (TX)
18220 STATE HIGHWAY 249, Houston, TX 77070

Other Names 1

Former Name (1)Karnika Denise Hill Fnp

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

Karnika Hill Campbell 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 ID4688067978
PECOS Enrollment IDI20220209001666
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 Karnika Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
173 services169 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

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.

Dietitian, Registered
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Internal Medicine
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Orthopaedic Surgery (Sports Medicine)
18220 STATE HIGHWAY 249, SUITE 400
HOUSTON, TX 77070
Emergency Medicine
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Physical Therapy Assistant
18220 STATE HIGHWAY 249, STE. 150
HOUSTON, TX 77070
Family Medicine
18220 STATE HIGHWAY 249
HOUSTON, TX 77070
Internal Medicine
18220 STATE HIGHWAY 249, SUITE 350
HOUSTON, TX 77070

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 Karnika Campbell's NPI number?

The NPI number for Karnika Campbell is 1457960494. It was assigned to this individual provider in the NPPES registry on July 27, 2020. The provider is also known as Karnika Denise Hill Fnp.

Where is Karnika Campbell located?

Karnika Campbell practices at 18220 State Highway 249, Houston, TX 77070. The listed phone number is (346) 332-2794.

What is Karnika Campbell's specialty?

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

Is Karnika Campbell enrolled in Medicare?

Yes. Karnika 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 Karnika Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karnika Campbell reassigns Medicare benefits to U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX). 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 Karnika Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karnika Campbell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Karnika 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 Karnika Campbell affiliated with any hospitals?

According to CMS data, Karnika Campbell is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Karnika Campbell was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.