JACKIE R CAMP NP
NPI 1518553403
Nurse Practitioner - Family in Fairfield, IL

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
213 NW 10TH ST, FAIRFIELD, IL 62837(618) 842-4617(618) 380-4565 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 7, 2025, Dec 15, 2020 (2 updates tracked since 2020).

About Jackie R Camp Np NPPES

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

JACKIE R CAMP NP (NPI 1518553403) is an individual family provider in Fairfield, Illinois, licensed in Indiana (28156286A) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and maintains a secondary practice location in Jeffersonville.

NPPES Registry Identity

NPI1518553403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE R CAMPCredential: NP
Location Address213 NW 10TH STFairfield, IL 62837-1216
Mailing Address213 Nw 10th StFairfield, IL 62837-1216 · (618) 842-4617 · Fax (618) 380-4565
Fax(618) 380-4565
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 15, 2020
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1518553403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28156286A
213 NW 10TH ST, Fairfield, IL 62837

Other Names 1

Other Name (5)Jacqueiline R Crawford Np

Secondary Practice Location 1

Location 11701 Spring St Ste BJeffersonville, IN 47130-2930 · Phone (812) 284-2273 · Fax (812) 284-2279

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

Jackie R Camp Np 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 ID2466861331
PECOS Enrollment IDI20210505000841, I20250520000370
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 Reassignments

4

Medicare enrollment records show Jackie Camp reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
303 NW 11TH ST
Fairfield, IL 62837
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
Hospitalist
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
Internal Medicine
1701 SPRING ST, SUITE B
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 57 clinicians in this Medicare group
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 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 3

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
188 services44 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
54 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 7

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

Internal Medicine (Cardiovascular Disease)
213 NW 10TH ST
FAIRFIELD, IL 62837
Family Medicine
213 NW 10TH ST, SUITE A
FAIRFIELD, IL 62837
Clinic/Center (Rural Health)
213 NW 10TH ST, SUITE A
FAIRFIELD, IL 62837
Nurse Practitioner (Psychiatric/Mental Health)
213 NW 10TH ST
FAIRFIELD, IL 62837
Family Medicine
213 NW 10TH ST
FAIRFIELD, IL 62837
Nurse Practitioner (Psychiatric/Mental Health)
213 NW 10TH ST
FAIRFIELD, IL 62837
Nurse Practitioner
213 NW 10TH ST
FAIRFIELD, IL 62837

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 Jackie Camp's NPI number?

The NPI number for Jackie Camp is 1518553403. It was assigned to this individual provider in the NPPES registry on December 15, 2020. The provider is also known as Jacqueiline R Crawford Np.

Where is Jackie Camp located?

Jackie Camp practices at 213 NW 10th St, Fairfield, IL 62837. The listed phone number is (618) 842-4617.

What is Jackie Camp's specialty?

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

Is Jackie Camp enrolled in Medicare?

Yes. Jackie Camp 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 Jackie Camp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Camp reassigns Medicare benefits to 4 organizations: Fairfield Memorial Hospital Association (Fairfield, IL), Sound Physicians Of Indiana, LLC (Terre Haute, IN), Total Care Family Practice Rick Bobay LLC (Jeffersonville, IN) and Cmc Healthcare LLC (Evanston, IL). 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 Jackie Camp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Camp accept?

Health plans from Ambetter Health list Jackie Camp 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 Jackie Camp affiliated with any hospitals?

According to CMS data, Jackie Camp is affiliated with Fairfield Memorial Hospital 1, Ferrell Hospital Community Foundations, Hamilton Memorial Hospital, Wabash General Hospital 1 and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Jackie Camp was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.