KELLI ANNE CAMPBELL (ARNP) – Family Nurse Practitioner, NPI 1639113616

KELLI ANNE CAMPBELL (ARNP) is a healthcare provider. based in Kennewick, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP30007170 (WA). The NPI Number for KELLI ANNE CAMPBELL (ARNP) is 1639113616

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLI ANNE CAMPBELL (ARNP)
NPI
1639113616
Phone
(509) 942-3627
Address
3900 S ZINTEL WAY
Enumeration Date
16 June 2006
Last Update Date
3 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099423125
Graduation Year
2005 (21 years ago)
PAC ID
9032132337
Group Practice PAC ID
9739098617
Professional Enrollment ID
I20060112000859
Address ID
WA993375092KE3900XWAYX402
Telehealth
Yes

Contacts

Secure Messaging
kcampbell1107039@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for KELLI ANNE CAMPBELL (ARNP)

  • 3900, South Zintel Way, Tri-Cities, Benton County, Washington, 99337, United States

    KENNEWICK, WA 99338

    Phone: (509) 942-3627

    Fax: (509) 942-2268

    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: 2006-01-12

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
I20060112000859INurse PractitionerWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes205116$0
99213Established patient office or other outpatient visit, 20-29 minutes12682$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
83036Hemoglobin a1c level5335$0
81002Urinalysis, manual test2218$0
View full utilization report →

Insurance plans in this area (ZIP 99338)

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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: 9739098617View full group profile
NameSpecialtyState
Medical Oncology, Hematology, Hematology/Oncology, Internal MedicineWA
-MO
Hospitalist, Internal MedicineWA
-WA
P O D I A T R YWA
Hematology/Oncology, Internal MedicineWA
Nurse PractitionerKS
Nurse PractitionerNC
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLI ANNE CAMPBELL (ARNP)?
KELLI ANNE CAMPBELL (ARNP) — NPI 1639113616 — is the standard way to identify this listing.
Is KELLI ANNE CAMPBELL (ARNP) still practicing?
KELLI ANNE CAMPBELL (ARNP) is currently listed as active in the public NPI registry.
What is KELLI ANNE CAMPBELL (ARNP)'s specialty?
The listing groups KELLI ANNE CAMPBELL (ARNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KELLI ANNE CAMPBELL (ARNP) on a map?
Expect Kennewick, Washington as a primary anchor for KELLI ANNE CAMPBELL (ARNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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