JACQUELINE CAMPBELL (FNP-BC) – Nurse Practitioner, NPI 1235909946

JACQUELINE CAMPBELL (FNP-BC) is a healthcare provider. based in Jackson, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 1138494 (KY). The NPI Number for JACQUELINE CAMPBELL (FNP-BC) is 1235909946

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE CAMPBELL (FNP-BC)
NPI
1235909946
Phone
(606) 824-5037
Address
1550 HIGHWAY 15 S STE 240
Enumeration Date
3 January 2024
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068245037
Graduation Year
2023 (3 years ago)
PAC ID
2062859820
Group Practice PAC ID
0547691289
Professional Enrollment ID
I20240328001992
Address ID
KY413390709JA1550XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JACQUELINE CAMPBELL (FNP-BC)

  • 1550 HIGHWAY 15 S STE 240

    JACKSON, KY 413390709

    Phone: (606) 824-5037

    Fax: (606) 824-5042

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-28

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
I20240328001992INurse 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 41339)

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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: 0547691289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseKY
Nurse PractitionerMI
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is JACQUELINE CAMPBELL (FNP-BC) listed with a National Provider Identifier?
Yes — JACQUELINE CAMPBELL (FNP-BC) has NPI 1235909946 on file in the registry.
Is JACQUELINE CAMPBELL (FNP-BC) shown as active in public data?
Registry records indicate JACQUELINE CAMPBELL (FNP-BC) maintains an active NPI.
What expertise is attributed to JACQUELINE CAMPBELL (FNP-BC)?
JACQUELINE CAMPBELL (FNP-BC)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACQUELINE CAMPBELL (FNP-BC)?
Travel planning: use Jackson, Kentucky as the reference point for JACQUELINE CAMPBELL (FNP-BC), then confirm.
Does JACQUELINE CAMPBELL (FNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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