ANGELA M CAMPBELL (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114171956

ANGELA M CAMPBELL (APRN) is a healthcare provider. based in Prestonsburg, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3005706 (KY). The NPI Number for ANGELA M CAMPBELL (APRN) is 1114171956

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA M CAMPBELL (APRN)
NPI
1114171956
Phone
(606) 886-8572
Address
104 S FRONT AVE
Enumeration Date
6 November 2008
Last Update Date
28 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068868572
Graduation Year
2013 (13 years ago)
PAC ID
8426118100
Group Practice PAC ID
5294720553
Professional Enrollment ID
I20140326001673
Address ID
KY416531614PR104XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for ANGELA M CAMPBELL (APRN)

  • 104 S FRONT AVE

    PRESTONSBURG, KY 416531614

    Phone: (606) 886-8572

    Fax: (606) 886-4433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,642.

Total Amount is formed as General ($1,642) + Research ($0) + Ownership ($0) = $1,642.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($244).

Total Amount

$1,642

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2014-03-26

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
I20140326001673INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41653)

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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: 5294720553View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Mental Health CounselorKY
Mental Health CounselorKY
-KY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What is ANGELA M CAMPBELL (APRN)'s NPI number?
ANGELA M CAMPBELL (APRN)'s NPI is 1114171956 — the number used across U.S. healthcare to identify this provider.
Is ANGELA M CAMPBELL (APRN) shown as active in public data?
Registry records indicate ANGELA M CAMPBELL (APRN) maintains an active NPI.
What area of care is associated with ANGELA M CAMPBELL (APRN)?
ANGELA M CAMPBELL (APRN)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is ANGELA M CAMPBELL (APRN) registered?
Use Prestonsburg, Kentucky as the headline location for ANGELA M CAMPBELL (APRN) here.
Can I trust this NPI listing for ANGELA M CAMPBELL (APRN)?
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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