MS. CINNAMON DALE CAMPBELL (FNP) – Family Nurse Practitioner, NPI 1083019020

MS. CINNAMON DALE CAMPBELL (FNP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2014010117 (MO). The NPI Number for MS. CINNAMON DALE CAMPBELL (FNP) is 1083019020

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. CINNAMON DALE CAMPBELL (FNP)
NPI
1083019020
Phone
(314) 362-9123
Address
PO BOX 7412011
Enumeration Date
4 November 2014
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143629123
Graduation Year
2005 (21 years ago)
PAC ID
3072822394
Group Practice PAC ID
8628588514
Professional Enrollment ID
I20151027001192
Address ID
MO631366163SA11133RDXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. CINNAMON DALE CAMPBELL (FNP)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-9123

    Fax: (314) 747-9160

    Type: Mailing

  • 11133 DUNN RD

    DEPT EMERGENCY MED

    SAINT LOUIS, MO 631366163

    Phone: (314) 362-9123

    Fax: (314) 747-9160

    Type: Location

  • 751 SAPPINGTON BRIDGE RD

    SULLIVAN, MO 630802354

    Phone: (573) 468-4186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($249).

Total Amount

$249

General + Research + Ownership

Payments

2

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-10-27

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
I20151027001192INurse PractitionerMOTBD

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
99285Emergency department visit with high level of medical decision making6361$0
99284Emergency department visit with moderate level of medical decision making5755$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 8628588514View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineOH
Emergency Medicine, General PracticeIL
Emergency MedicineIA
Emergency Medicine, General PracticeMO
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicinePA
Emergency MedicineMO
Emergency MedicineIL

Reviews

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Frequently asked questions

Is there an official ID for MS. CINNAMON DALE CAMPBELL (FNP) in U.S. healthcare records?
The official identifier for MS. CINNAMON DALE CAMPBELL (FNP) is NPI 1083019020.
Active or inactive — what applies to MS. CINNAMON DALE CAMPBELL (FNP)?
You should see MS. CINNAMON DALE CAMPBELL (FNP) as active in CMS-hosted NPPES data.
What kind of doctor is MS. CINNAMON DALE CAMPBELL (FNP)?
MS. CINNAMON DALE CAMPBELL (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MS. CINNAMON DALE CAMPBELL (FNP) located near Chicago?
MS. CINNAMON DALE CAMPBELL (FNP) currently maps to Chicago, Illinois in this extract.
Can I trust this NPI listing for MS. CINNAMON DALE CAMPBELL (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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