Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Marie Campbell, AGNP

Individual provider Nurse Practitioner · NPI 1629661723

MS. Lisa Marie Campbell, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

11155 Dunn Rd Div Surg CT Adult Cardio Ste 209E
Saint Louis, MO 63136-6150
Phone: (314) 362-7260
Fax: (866) 272-2816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2020033733 (MO)

Record details

NPI number1629661723
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESMay 28, 2025
Certification dateOctober 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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