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NICOLE D CAMPBELL NP
NPI 1801317896
Nurse Practitioner - Acute Care in Providence, RI

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
148 W RIVER ST, PROVIDENCE, RI 02904(401) 421-6306 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 30, 2017, Aug 7, 2017 and 1 more (4 updates tracked since 2017).

About Nicole D Campbell Np NPPES

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

NICOLE D CAMPBELL NP (NPI 1801317896) is an individual acute care provider in Providence, Rhode Island, licensed in Rhode Island (APRN01637) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801317896
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE D CAMPBELLCredential: NP
Location Address148 W RIVER STProvidence, RI 02904-2615
Mailing Address32 Lawnwood RdNorth Kingstown, RI 02852-6933 · (401) 741-7408
Phone(401) 421-6306
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1801317896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in RI · APRN01637
148 W RIVER ST, Providence, RI 02904
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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

Nicole D Campbell 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 ID941575880
PECOS Enrollment IDI20171003006957
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 5

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 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%254 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
90%713 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
5%185 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%540 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 54% · 139 patients
65%139 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 185 patients
0%185 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KATRINA ADORA DESPINOS CNM, APRN
Advanced Practice Midwife
148 W RIVER ST
PROVIDENCE, RI 02904
Providence County (401) 606-3027
BAYSIDE ENDOSCOPY CENTER, LLC
Clinic/Center (Endoscopy)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 274-1260
BARBARA C RAMPO FNP
Nurse Practitioner
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
DAVID SAMUEL BICK M.D.
Otolaryngology
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Providence County (401) 728-0140
JOEL S SPELLUN M.D.
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
PHILIP MCANDREW M.D.
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
CONSULTANTS IN GASTROENTEROLOGY, INC
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
MARLA CATHLEEN ANGERMEIER M.D.
Dermatology
148 W RIVER ST, SUITE 1 B
PROVIDENCE, RI 02904
Providence County (401) 273-9310

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 Nicole Campbell's NPI number?

The NPI number for Nicole Campbell is 1801317896. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Nicole Campbell located?

Nicole Campbell practices at 148 W River St, Providence, RI 02904. The listed phone number is (401) 421-6306.

What is Nicole Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Campbell enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Campbell affiliated with any hospitals?

According to CMS data, Nicole Campbell is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Campbell was last updated on July 21, 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.