Active NPI
Jancarla Marie Ocampo, DO
- Family Medicine Physician
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.016001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | 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
- jocampo2914250@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
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
- Novant Medical Group Inc (Novant Health Triad Surgical Associates)
- Novant Medical Group, Inc (Novant Health Orthopedics & Sports Medicine)
- Novant Medical Group, Inc. (Novant Health Transitional Care & Infusion)
- Alexis Lamar Nowell, PT, DPT
- Allison O'Brien, BCBA
- Kevin Eugene Odom, CCS-I, LCAS, LCMHC-A
- Caitlin Ontiveros, PA-C
- Optimal Health Chiropractic
- Optimal Health Chiropractic PLLC
- Martha Elaine Orcutt, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.