RICHARD D CAMPBELL ANP NPI 1053414219

NPI Information

  • NPI: 1053414219
  • Provider Name: RICHARD D CAMPBELL, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 E EVERGREEN
    CAMERON, MO
    ZIP 64429
  • Phone: (816) 649-3362

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NPI Details

Richard D Campbell, ANP is an adult health nurse practitioner in Cameron, MO with 28 years of experience. Richard D Campbell, ANP NPI is 1053414219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1600 E EVERGREEN
CAMERON, MO
ZIP 64429-557
Phone: (816) 649-3362
Fax: (816) 238-4470

The NPI 1053414219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 4/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health150797MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F79B179MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
2200263390AMEDICAIDKANSAS
3423978329MEDICAIDMISSOURI
4P36161MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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