MARK CAMPBELL JR. DNP, PMHNP-BC
NPI 1619703261
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ

Q: What is Mark Campbell's NPI number?

The NPI number for Mark Campbell is 1619703261. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Q: What is Mark Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mark Campbell was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 10, 2024PECOS EnrolledAccepts Medicare Assignment

2450 E GUADALUPE RD STE 103, GILBERT, AZ 85234(602) 610-1191(602) 835-0559 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Nov 4, 2025, Sep 10, 2024 (3 updates tracked since 2024).

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About Mark Campbell Jr. Dnp, Pmhnp-bc NPPES

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

MARK CAMPBELL JR. DNP, PMHNP-BC (NPI 1619703261) is an individual psychiatric/mental health provider in Gilbert, Arizona, licensed in Arizona (309722) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619703261

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMARK CAMPBELL JR.Credential: DNP, PMHNP-BC

Location Address2450 E GUADALUPE RD STE 103Gilbert, AZ 85234-5116

Mailing Address2450 E Guadalupe Rd Ste 103Gilbert, AZ 85234-5116 · (602) 610-1191 · Fax (602) 835-0559

Phone(602) 610-1191

Fax(602) 835-0559

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 10, 2024

Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1619703261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 309722

2450 E GUADALUPE RD STE 103, Gilbert, AZ 85234

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Secondary Practice Location 1

Location 19250 W Thomas Rd Ste 100Phoenix, AZ 85037-3383 · Phone (602) 610-1191 · Fax (602) 835-0559

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Campbell Jr. Dnp, Pmhnp-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 ID7214451483

PECOS Enrollment IDI20250409001291

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

MRS. JACQUELINE P. PARKES LCSW

Social Worker (Clinical)