Individual provider Active NPI

Jancarla Marie Ocampo, DO

  • Family Medicine Physician
  • Clemmons, NC
National Provider Identifier
1144857574
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.016001 Issued in OH
Practice address
2311 Lewisville-Clemmons Road
3Rd Floor
Clemmons, NC 27012-8905
Phone
(336) 713-8900
Fax
(336) 702-9286
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.016001 OH Primary

Addresses

Primary practice location

2311 Lewisville-Clemmons Road
3Rd Floor
Clemmons, NC 27012-8905

Mailing address

100 Kimel Forest Drive
Winston Salem, NC 27103-6074
Phone (336) 713-0947

Other practice location 1

6905 Hospital Dr Ste 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Other practice location 2

290 E Town St
Columbus, OH 43215-4602
Phone (614) 788-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015004854 NC Practitioner - Family Practice 3072935162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone (336) 716-2255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 23, 2024 Accepting new patients

Locations

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

2311 Lewisville Clemmons Rd
Ste 3
Clemmons, NC 27012

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045
Phone (336) 716-9270

3333 Brookview Hills Blvd
Ste 201
Winston Salem, NC 27103
Phone (336) 602-2801

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: jocampo2914250@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jocampo2694532@direct.trinity-health.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1144857574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-713-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LEWISVILLE-CLEMMONS ROAD",
            "address_2": "3RD FLOOR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128905",
            "telephone_number": "336-713-8900",
            "fax_number": "336-702-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Hospital Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 E Town St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154602",
            "country_code": "US",
            "telephone_number": "614-788-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "JANCARLA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.