Ms Kelley Renee Campbell, RN, FNP-BC - Medicare Nurse Practitioner in Alton, IL

Ms Kelley Renee Campbell, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Alton, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Emergency Good Samaritan, Inc, Midwest Medical And Occupational Services Sc and her current practice location is 1 Memorial Dr, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-7474.

Ms Kelley Renee Campbell is licensed to practice in Illinois (license number 209009568) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245590074.

Contact Information

Ms Kelley Renee Campbell, RN, FNP-BC
1 Memorial Dr,
Alton, IL 62002-6722
(618) 463-7474
(618) 463-7543



Provider's Profile

Full NameMs Kelley Renee Campbell
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1 Memorial Dr, Alton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kelley Renee Campbell attended and graduated from Southern Illinois University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1245590074
  • Provider Enumeration Date: 05/27/2012
  • Last Update Date: 02/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729234695
  • Enrollment ID: I20120808000480

Medical Identifiers

Medical identifiers for Ms Kelley Renee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245590074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209009568 (Illinois)Primary
363L00000XNurse Practitioner 209009568 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clay County HospitalFlora, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Emergency Good Samaritan, Inc165852934222
Midwest Medical And Occupational Services Sc34767944964

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelley Renee Campbell allows following entities to bill medicare on her behalf.
Entity NameAnderson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700807716
PECOS PAC ID: 5193792018
Enrollment ID: O20040910001137

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Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645

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Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074

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Entity NameMidwest Medical And Occupational Services Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679814305
PECOS PAC ID: 3476794496
Enrollment ID: O20130802000091

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Entity NameAlton-griffin Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891104824
PECOS PAC ID: 7315167103
Enrollment ID: O20140929002428

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Entity NameGranite City Illinois Hospital Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417353087
PECOS PAC ID: 2668389438
Enrollment ID: O20150325001334

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Entity NameSoutheastern Emergency Services Of Memphis Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20150428000000

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Entity NameGranite City Emergency Medicine Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861946626
PECOS PAC ID: 7012205784
Enrollment ID: O20161012001300

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Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357

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Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelley Renee Campbell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kelley Renee Campbell, RN, FNP-BC
1 Memorial Dr,
Alton, IL 62002-6722

Ph: (618) 463-7474
Ms Kelley Renee Campbell, RN, FNP-BC
1 Memorial Dr,
Alton, IL 62002-6722

Ph: (618) 463-7474

News Archive

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Researchers at Weill Cornell Medical College were awarded a $6.5 million grant from the National Heart, Lung, and Blood Institute for a five-year investigation into metabolic changes occurring within airway epithelial cells in the lungs of chronic obstructive pulmonary disease (COPD) patients caused by cigarette smoking. In addition, researchers aim to identify which cigarette smokers are at highest risk of developing COPD as well as novel biomarkers to assist in the development of new therapeutic treatments for the disease.

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Read more News

› Verified 5 days ago


Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002
Phone: 618-607-1340    Fax: 618-622-9724
Lee A Tardino, MSN ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Jodi R Lutz, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Washington Ave, Alton, IL 62002
Phone: 314-687-2735    
Lisa K James, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-433-6170    
Laura L Brandenburg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002
Phone: 618-463-7777    Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5035
Anissa Fay Washington, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7300    

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