Active NPI
Ana Maria B Chavalo Campos, MSM
- Family Nurse Practitioner
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034198
- Practice address
- 2875 NE 191St St Ste 500
Aventura, FL 33180-2832 - Phone
- (443) 383-9300
- NPI assigned
- Aug 12, 2024
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11034198 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | F07240198 | FL |
Addresses
Primary practice location
2875 NE 191St St Ste 500
Aventura, FL 33180-2832
Mailing address
2608 S 16TH St
Fort Pierce, FL 34982-5717
Phone (772) 708-6792
Other practice location 1
2608 S 16th St
Fort Pierce, FL 34982-5717
Phone (772) 708-6792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2777 NE 183Rd St
Aventura, FL 33160-2165
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034198 | FL | MD | Family Nurse Practitioner |
| F07240198 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Single Specialty | Current | Accepting new patients |
| Chma of FL, PLLC | Single Specialty | Current | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 741-5628
9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200
1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1063217545
FL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1003647041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 S 16TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349825717",
"telephone_number": "772-708-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 NE 191ST ST STE 500",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802832",
"telephone_number": "443-383-9300"
}
],
"practiceLocations": [
{
"address_1": "2608 S 16th St",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349825717",
"country_code": "US",
"telephone_number": "772-708-6792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVALO CAMPOS",
"first_name": "ANA",
"middle_name": "MARIA B",
"credential": "MSM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034198",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "F07240198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
- Carlos Chamorro
- Charles P Shenker MD PA
- Charles Rosenthal, P.a. (dr. charles rosenthal and associates)
- Chase Dental Sleepcare of Aventura LLC
- Aysham Chaudry
- Farida S Cheddie, PA-C
- Chen Medical Aventura, Inc. (Chen Medical Aventura)
- Chen Neighborhood Medical Aventura, LLC
- Lea Chernoff, DDS
- Cheryl G. Aber MD PA (AHAVA Dermatology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.