Nunta Campbell, NP is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Statesville, North Carolina. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optimed Hospitalists, Pllc and her current practice location is
557 Brookdale Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 997-5525.
Nunta Campbell is licensed to practice in North Carolina (license number RTL25-1269) 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 1609259183.
Provider's Profile
| Full Name | Nunta Campbell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 557 Brookdale Dr, Statesville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nunta Campbell graduated from nursing school in 2025
NPI Data:
- NPI Number: 1609259183
- Provider Enumeration Date: 07/02/2015
- Last Update Date: 07/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587972047
- Enrollment ID: I20151001003051
Medical Identifiers
Medical identifiers for Nunta Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609259183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5007686 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RTL25-1269 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optimed Hospitalists, Pllc | 8022204171 | 45 |
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. Nunta Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Optimed Hospitalists, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235449125
PECOS PAC ID: 8022204171
Enrollment ID: O20101201000378 |
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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. Nunta 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 Address | Practice Location Address |
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Nunta Campbell, NP
Po Box 2530,
Davidson, NC 28036-2530
Ph: (704) 997-5525 | Nunta Campbell, NP
557 Brookdale Dr,
Statesville, NC 28677-4107
Ph: (704) 997-5525 |
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