Individual provider Active NPI

Irving Joseph Campbell, APRN

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1093482093
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11014498 Issued in FL
Practice address
1485 Gateway Blvd Ste 101
Boynton Beach, FL 33426-8313
Phone
(561) 231-6999
Fax
(561) 231-9696
NPI assigned
Aug 26, 2021
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11014498 FL Primary

Addresses

Primary practice location

1485 Gateway Blvd Ste 101
Boynton Beach, FL 33426-8313

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Other practice location 1

9109 S US Highway 1 Ste 102
Port St Lucie, FL 34952-3453
Phone (772) 253-2642

Other practice location 2

672 SW Prima Vista Blvd Ste 102
Port St Lucie, FL 34983-1820
Phone (772) 905-2560

Other identifiers 1

IdentifierTypeStateIssuer
125227000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ic399@mynsu.nova.edu

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109002058 FL Practitioner - Nurse Practitioner 0840660833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xpress Urgent Care LLCGroup PAC ID 0042454944, 31 clinicians
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1485 Gateway Blvd
Boynton Beach, FL 33426-8313
Phone (561) 231-6999

5000 Okeechobee Rd
Suite C
Fort Pierce, FL 34947-5492
Phone (772) 241-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11014498FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc Current Accepting new patients
Xpress Urgent Care, LLC. CurrentSince Jan 2, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 31, 2026 Accepting new patients
Cardiology Associates of Stuart P a CurrentSince Sep 3, 2023 Accepting new patients
Medical Consultants of Florida, LLC Current Accepting new patients
Xpress Urgent Care, LLC. PastSince Oct 21, 2025 Accepting new patients

Locations

1485 Gateway Blvd
Boynton Beach, FL 33426
Phone (561) 231-6999

1485 Gateway Blvd
Ste 101
Boynton Beach, FL 33426
Phone (561) 231-6999

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

5000 Okeechobee Rd
Ste C
Fort Pierce, FL 34947
Phone (772) 241-6230

3889 Military Trl
Ste 103
Jupiter, FL 33458
Phone (561) 468-2370

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

1027 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 781-0222

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1093482093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 GATEWAY BLVD STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268313",
            "telephone_number": "561-231-6999",
            "fax_number": "561-231-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9109 S US Highway 1 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349523453",
            "country_code": "US",
            "telephone_number": "772-253-2642",
            "fax_number": "772-253-1643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "672 SW Prima Vista Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "772-905-2560",
            "fax_number": "772-336-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "IRVING",
        "middle_name": "JOSEPH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125227000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ic399@mynsu.nova.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3000 Coral Hills Dr",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330654108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.