CAMPBELL DERMATOLOGY AND AESTHETICS
NPI 1629640693
Dermatology in Mcminnville, OR
About Campbell Dermatology And Aesthetics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMPBELL DERMATOLOGY AND AESTHETICS (NPI 1629640693) is a healthcare organization registered as a dermatology in Mcminnville, Oregon and active in the NPI registry since July 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 19, 2027 and lists Stephanie Juliet Campbell, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Campbell Dermatology And Aesthetics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Campbell Dermatology And Aesthetics, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 38D0622901
Campbell Dermatology And Asthetics · Mcminnville, ORFrequently 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 Stephanie Juliet Campbell, Do, LLC's NPI number?
The NPI number for Stephanie Juliet Campbell, Do, LLC is 1629640693. It was assigned to this organization in the NPPES registry on July 11, 2021. The provider is doing business as Campbell Dermatology And Aesthetics.
Where is Stephanie Juliet Campbell, Do, LLC located?
Stephanie Juliet Campbell, Do, LLC is located at 706 NE Evans St, Mcminnville, OR 97128. The listed phone number is (808) 498-6617.
What is Stephanie Juliet Campbell, Do, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Stephanie Juliet Campbell, Do, LLC enrolled in Medicare?
Yes. Stephanie Juliet Campbell, Do, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stephanie Juliet Campbell, Do, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Stephanie Juliet Campbell, Do, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stephanie Juliet Campbell, Do, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 38D0622901) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Stephanie Juliet Campbell, Do, LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Stephanie Juliet Campbell, Do, LLC 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.
When was this NPI record last updated?
The NPPES record for Stephanie Juliet Campbell, Do, LLC was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Campbell Dermatology And Aesthetics · NPI 1629640693
Dermatology organization in Mcminnville, Oregon. Organization record, active in the CMS NPPES registry since July 11, 2021.
## Identity
- **NPI:** 1629640693 (Entity type: Organization)
- **Enumerated:** July 11, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Stephanie Juliet Campbell, Do, Llc
- **Organization subpart:** No
- **Authorized official:** Stephanie Campbell, OWNER/PHYSICIAN
## Practice location
- **Address:** 706 NE EVANS ST, Mcminnville, OR 97128-3926
- **Phone:** (808) 498-6617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629640693) · Data from the CMS NPPES public registry.