Noelle Campbell, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11005910 Issued in FL

Practice address

10875 Park Blvd Ste C
Seminole, FL 33772-5456

Phone

(727) 350-0453

Fax

(727) 350-0455

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJEGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608
  Medicare reassignment Care Compare group
• Sinus & Nasal Institute of Florida PA

  • Otolaryngology Physician
  • St Petersburg, FL
  • NPI 1922131184
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1215553482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 111TH PL N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD STE C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725456",
            "telephone_number": "727-350-0453",
            "fax_number": "727-350-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NOELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11005910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randal Lee Butch, DC
• Blair Cacciamani
• Sachell Calderon
• Ashley Caliri, BCBA
• Tara Koza Camargo, O.D.
• Julianna Capobianco
• Capstone Eye Care Group of Florida LLC
• Jade Luciana Carbonelli, PA-C
• Carlos E Cardenas Peralta, DMD
• Caring About Living Individuals Project

• Acute Care Nurse Practitioner in Seminole, FL
• Providers in Seminole, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.

Verify at the official NPI Registry.