ANNEEL CAMPA — NPI 1790604965 (Licensed & Credentialed Community Health Worker in HILLSBORO, OR)

CMS-1500 Box 24J / 33a • NPI

1790604965

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

172V00000X

Licensed & Credentialed Community Health Worker

Box 32 Service Location & ZIP+4

730 SE OAK ST STE A, HILLSBORO, OR, 97123-4245

✓ 9-Digit EDI 837 ZIP+4 (97123-4245)

Practice Phone & Referral Fax

(503) 352-2354

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790604965 (ANNEEL CAMPA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790604965` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANNEEL CAMPA
Plain-English Specialty	Licensed & Credentialed Community Health Worker NUCC Code: `172V00000X` (Community Health Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	730 SE OAK ST STE A, HILLSBORO, OR, 97123-4245
Practice Telephone / Fax	Tel: (503) 352-2354
Administrative Mailing Address	7165 SE BLANTON ST APT 7303, HILLSBORO, OR, 97129-2703
Enumeration & Last Sync	Enumerated: 2026-07-13 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

730 SE OAK ST STE A, HILLSBORO, OR, 97123-4245

🗺️ Open in Google Maps 🏥 More Providers in HILLSBORO

🔒 Are you ANNEEL CAMPA? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (172V00000X)

What Does Taxonomy Code 172V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 172V00000X translates to:
"Licensed & Credentialed Community Health Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Health Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANNEEL CAMPA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`172V00000X` — Community Health Worker Plain English: Licensed & Credentialed Community Health Worker	State: OR \| License: `111204` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ANNEEL CAMPA (NPI #1790604965)