ELIZABETH BROOKE CAMPBELL – Clinical Neuropsychologist, NPI 1093221350
Clinical Neuropsychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
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Provider Addresses for ELIZABETH BROOKE CAMPBELL
117 HEALTH SCIENCES BLDG.
3640 COLONEL GLENN HWY
DAYTON, OH 454350001
Phone: (937) 775-3458
Fax: (937) 775-3434
Type: Mailing
165, South Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45402, United States
DAYTON, OH 454028472
Phone: (937) 558-0200
Type: Location
4805 MONTGOMERY RD STE 150
CINCINNATI, OH 452122280
Phone: (513) 961-5558
Fax: (513) 961-1912
Type: Mailing
PO BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 344-5555
Type: Mailing
334 THOMAS MORE PKWY
CRESTVIEW HILLS, KY 410173464
Phone: (859) 301-5901
Fax: (859) 301-5940
Type: Location
320 THOMAS MORE PKWY
CRESTVIEW HILLS, KY 41017
Phone: (859) 341-4266
Fax: (859) 344-5076
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2022-09-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220930002008 | I | Clinical Psychologist | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 183 | 46 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 144 | 47 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 48 | 47 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 47 | 46 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 21 | 21 | $0 |
Insurance plans in this area (ZIP 45435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | OH | |
| Clinical Psychologist | OH | |
| - | OH | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Pain Management, Anesthesiology | OH | |
| - | FL | |
| - | OH | |
| N E U R O L O G Y | CO | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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