Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary L. Campagna-Gibson, MD

Individual provider Neurology Physician · NPI 1629258132

Dr. Mary L. Campagna-Gibson, MD practises Neurology in Kenosha, Wisconsin. Graduated from Southern Illinois University School of Medicine in 2004, 22 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Trained at
Southern Illinois University School of Medicine
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6308 8th Ave Ste 2000
Kenosha, WI 53143-5031 Not confirmed with CMS for 12 years — call before visiting
Phone: (262) 653-5300
Fax: (262) 653-5412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2008-01613 (NC)

Record details

NPI number1629258132
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2007
Last updated in NPPESFebruary 18, 2014

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesSLEEP MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients294
Services billed 981 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Advantage Physical Therapy and Sports Rehab, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Kenosha