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JERRY LEE CAMPBELL JR. APRN
NPI 1972281715
Nurse Practitioner - Primary Care in Jackson, KY

Active since July 11, 2023PECOS EnrolledAccepts Medicare Assignment
1550 HIGHWAY 15 S STE 240, JACKSON, KY 41339(606) 272-7533(606) 824-5042 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry Lee Campbell Jr. Aprn NPPES

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

JERRY LEE CAMPBELL JR. APRN (NPI 1972281715) is an individual primary care provider in Jackson, Kentucky, licensed in Kentucky (4007079) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972281715
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameJERRY LEE CAMPBELL JR.Credential: APRN
Location Address1550 HIGHWAY 15 S STE 240Jackson, KY 41339-0709
Mailing Address1550 Highway 15 S Ste 240Jackson, KY 41339-0709 · (606) 272-7533 · Fax (606) 824-5042
Phone(606) 272-7533
Fax(606) 824-5042
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1972281715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KY · 4007079
1550 HIGHWAY 15 S STE 240, Jackson, KY 41339
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Jerry Lee Campbell Jr. Aprn 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 ID6709154958
PECOS Enrollment IDI20231220003973
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 Reassignment

Medicare enrollment records show Jerry Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Line Primary Care
3.6 mi
Rural Health
1550 HIGHWAY 15 S STE 240
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1609378132 (606) 568-1184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 4

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

JACQUELINE CAMPBELL FNP-BC
Nurse Practitioner
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Breathitt County (606) 824-5037
COUNTY LINE PRIMARY CARE
Clinic/Center (Rural Health)
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Breathitt County (606) 568-1184
MRS. MADISON HALEY TRENT APRN
Nurse Practitioner (Family)
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Breathitt County (606) 824-5037
VICEY ANN COMBS
Registered Nurse
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Breathitt County (606) 824-5037

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 Jerry Campbell's NPI number?

The NPI number for Jerry Campbell is 1972281715. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Jerry Campbell located?

Jerry Campbell practices at 1550 Highway 15 S Ste 240, Jackson, KY 41339. The listed phone number is (606) 272-7533.

What is Jerry Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jerry Campbell enrolled in Medicare?

Yes. Jerry 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.

Which organization bills Medicare for Jerry Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Campbell reassigns Medicare benefits to County Line Primary Care (Jackson, KY). The 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 Jerry Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Campbell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jerry 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.

When was this NPI record last updated?

The NPPES record for Jerry Campbell was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.