KATHARINE KINGSLEY CAMPBELL (NP) – Gerontology Nurse Practitioner, NPI 1962064626

KATHARINE KINGSLEY CAMPBELL (NP) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. PENDING (MA). The NPI Number for KATHARINE KINGSLEY CAMPBELL (NP) is 1962064626

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATHARINE KINGSLEY CAMPBELL (NP)
NPI
1962064626
Phone
(781) 640-7537
Address
50 ORCHARDHILL RD
Enumeration Date
2 July 2019
Last Update Date
2 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819839088
Graduation Year
2019 (7 years ago)
PAC ID
7012330111
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20200708001521
Address ID
MA020266146DE40XXXDRXX300

Contacts

SOAP Endpoint
Chart
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for KATHARINE KINGSLEY CAMPBELL (NP)

  • 50, Orchardhill Road, Forest Hills, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    JAMAICA PLAIN, MA 021303725

    Phone: (781) 640-7537

    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: 2020-07-08

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
I20200708001521INurse PractitionerMATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5252$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4440$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 02130)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

What is the registry number for KATHARINE KINGSLEY CAMPBELL (NP)?
The registry entry for KATHARINE KINGSLEY CAMPBELL (NP) shows NPI 1962064626.
Should I treat KATHARINE KINGSLEY CAMPBELL (NP) as an active provider?
Patients and plans typically see KATHARINE KINGSLEY CAMPBELL (NP) as active in the national extract.
How should patients interpret KATHARINE KINGSLEY CAMPBELL (NP)'s specialty?
The extract shows Gerontology Nurse Practitioner for KATHARINE KINGSLEY CAMPBELL (NP). Clinical services aligned with this taxonomy classification.
Is KATHARINE KINGSLEY CAMPBELL (NP) tied to Jamaica Plain, Massachusetts?
If you are local to Jamaica Plain, Massachusetts, KATHARINE KINGSLEY CAMPBELL (NP) may be relevant to your search.
Can I export KATHARINE KINGSLEY CAMPBELL (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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