COREY R. CAMPBELL PA
NPI 1629485677
Physician Assistant in Fort Wayne, IN

Active since July 22, 2014PECOS EnrolledAccepts Medicare Assignment
7900 W JEFFERSON BLVD STE 201, FORT WAYNE, IN 46804(260) 969-7216(260) 969-7230 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Jan 5, 2021 (2 updates tracked since 2021).

About Corey R. Campbell Pa NPPES

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

COREY R. CAMPBELL PA (NPI 1629485677) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10004224A) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629485677
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOREY R. CAMPBELLCredential: PA
Location Address7900 W JEFFERSON BLVD STE 201Fort Wayne, IN 46804-4128
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Fax(260) 969-7230
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 22, 2014
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1629485677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10004224A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7900 W JEFFERSON BLVD STE 201, Fort Wayne, IN 46804

Accepted 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

Corey R. Campbell Pa 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 ID3072824093
PECOS Enrollment IDI20240731003188
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services50 patients

Hospital Affiliations CMS Care Compare 5

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 15

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

Internal Medicine (Gastroenterology)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Neurological Surgery
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Registered Nurse (Diabetes Educator)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Registered Nurse (Diabetes Educator)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN 46804

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 Corey Campbell's NPI number?

The NPI number for Corey Campbell is 1629485677. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Corey Campbell located?

Corey Campbell practices at 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804. The listed phone number is (260) 969-7216.

What is Corey Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Corey Campbell enrolled in Medicare?

Yes. Corey 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.

What insurance does Corey Campbell accept?

Health plans from Anthem Blue Cross and Blue Shield list Corey 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 Corey Campbell affiliated with any hospitals?

According to CMS data, Corey Campbell is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana, St Joseph Health System, LLC, Dupont Hospital LLC and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Corey Campbell was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.