KATELYN CAMPISI (CRNP) – Family Nurse Practitioner, NPI 1386184612

KATELYN CAMPISI (CRNP) is a healthcare provider. based in Moody, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-139847 (AL). The NPI Number for KATELYN CAMPISI (CRNP) is 1386184612

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN CAMPISI (CRNP)
NPI
1386184612
Phone
(205) 640-2808
Address
2834 MOODY PKWY
Enumeration Date
6 March 2017
Last Update Date
22 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057807053
Graduation Year
2016 (10 years ago)
PAC ID
6406133131
Group Practice PAC ID
1456254556
Professional Enrollment ID
I20170508000951
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for KATELYN CAMPISI (CRNP)

  • 2834, Moody Parkway, Forest Hills, Woodland Village, Moody, St. Clair County, Alabama, 35004, United States

    MOODY, AL 35004

    Phone: (205) 640-2808

    Fax: (205) 640-2810

    Type: Location

  • PO BOX 12366

    BIRMINGHAM, AL 352022366

    Phone: (205) 780-7101

    Fax: (205) 206-8338

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Novo Nordisk Inc ($137).

Total Amount

$377

General + Research + Ownership

Payments

22

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170508000951INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2523$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1717$0
80053Blood test, comprehensive group of blood chemicals1515$0
80061Blood test, lipids (cholesterol and triglycerides)1515$0
36415Insertion of needle into vein for collection of blood sample1212$0
View full utilization report →

Insurance plans in this area (ZIP 35004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456254556View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KATELYN CAMPISI (CRNP)?
Save NPI 1386184612 if you need a stable reference for KATELYN CAMPISI (CRNP).
Is KATELYN CAMPISI (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATELYN CAMPISI (CRNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KATELYN CAMPISI (CRNP). Clinical services aligned with this taxonomy classification.
What location shows for KATELYN CAMPISI (CRNP)?
We surface Moody, Alabama for KATELYN CAMPISI (CRNP) based on available NPPES addresses.
Is KATELYN CAMPISI (CRNP) a real provider?
This page reflects official NPPES data for NPI 1386184612. Always confirm identity and privileges with the practice and licensing boards.

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