MS. WILLA R. CAMPBELL (MSN, CNM, APRN) – Women's Health Nurse Practitioner, NPI 1174931216

MS. WILLA R. CAMPBELL (MSN, CNM, APRN) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Women's Health Nurse Practitioner. They hold the professional credentials MSN, CNM, APRN. They hold a License No. CNM465 (MN). The NPI Number for MS. WILLA R. CAMPBELL (MSN, CNM, APRN) is 1174931216

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. WILLA R. CAMPBELL (MSN, CNM, APRN)
NPI
1174931216
Phone
(612) 545-5311
Address
2606 CHICAGO AVE
Enumeration Date
31 July 2014
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014371008
Graduation Year
2014 (12 years ago)
PAC ID
5799009924
Group Practice PAC ID
1951298595
Professional Enrollment ID
I20150119000136
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MS. WILLA R. CAMPBELL (MSN, CNM, APRN)

  • 2606 CHICAGO AVE

    MINNEAPOLIS, MN 554073706

    Phone: (612) 545-5311

    Fax: (612) 224-9622

    Type: Mailing

  • 345 WHITNEY AVE

    NEW HAVEN, CT 065112348

    Phone: (203) 752-2856

    Fax: (203) 752-8785

    Type: Mailing

  • 168 BETTY POND RD

    HOPE, RI 028311123

    Phone: (401) 965-6897

    Fax: (401) 647-4814

    Type: Location

  • 624 Smith Ave S

    Saint Paul, MN 551072620

    Phone: (651) 689-3988

    Fax: (612) 224-9622

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: PFIZER INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$19
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: 2015-01-19

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
I20150119000136ICertified Nurse Midwife (Cnm)RITBD

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 55407)

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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: 1951298595View full group profile
NameSpecialtyState
Physician AssistantRI
Family PracticeRI
Certified Clinical Nurse Specialist (Cns)RI
-MA
O P T O M E T R YRI
Physician AssistantRI
Nurse PractitionerRI
-RI
Family PracticeRI
Family PracticeRI

Reviews

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Frequently asked questions

What number should I use to identify MS. WILLA R. CAMPBELL (MSN, CNM, APRN) for billing?
Administrative and clinical systems typically use NPI 1174931216 for MS. WILLA R. CAMPBELL (MSN, CNM, APRN).
Quick check: is MS. WILLA R. CAMPBELL (MSN, CNM, APRN) active?
Public NPPES data shows MS. WILLA R. CAMPBELL (MSN, CNM, APRN) with an active NPI status right now.
What does the directory say MS. WILLA R. CAMPBELL (MSN, CNM, APRN) does?
Insurance directories may phrase it differently, but here MS. WILLA R. CAMPBELL (MSN, CNM, APRN) maps to Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. WILLA R. CAMPBELL (MSN, CNM, APRN)?
MS. WILLA R. CAMPBELL (MSN, CNM, APRN) shows a connection to Minneapolis, Minnesota in registry-derived data.
Can I export MS. WILLA R. CAMPBELL (MSN, CNM, APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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