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

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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

Map and Direction




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

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
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
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
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
Entity NameAlton-griffin Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891104824
PECOS PAC ID: 7315167103
Enrollment ID: O20140929002428
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
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
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
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045

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

Reviews and Comments


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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.