Individual provider Active NPI

Corina N Campos, CRNP

  • Nurse Practitioner
  • Horsham, PA
National Provider Identifier
1255826731
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP029675 Issued in PA
Practice address
721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Phone
(215) 254-6000
Fax
(215) 754-1705
NPI assigned
Jun 26, 2018
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP029675 PA Primary
Acute Care Nurse Practitioner 363LA2100X SP016209 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029675 PA
Primary Care Nurse Practitioner 363LP2300X SP016209 PA

Addresses

Primary practice location

721 Dresher Rd Ste 1100
Horsham, PA 19044-2216

Mailing address

715 Twining Rd Ste 120
Dresher, PA 19025-1832
Phone (215) 254-6000

Other practice location 1

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525
Phone (215) 254-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180918003068 PA Practitioner - Nurse Practitioner 3779834502 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029675PAMDPsychiatric/Mental Health Nurse Practitioner
SP016209PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMC of PA PC CurrentSince Nov 5, 2024 Accepting new patients
Complete Mind Care Brain Wellness PLLC CurrentSince Feb 23, 2025 Accepting new patients
CMC of PA PC PastSince Dec 17, 2023 Accepting new patients
Complete Mind Care of PA, LLC PastSince Nov 5, 2024 Accepting new patients

Locations

1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000

715 Twining Rd
Ste 120
Dresher, PA 19025

721 Dresher Rd
Ste 1100
Horsham, PA 19044
Phone (215) 254-6000

795 E Lancaster Ave
Ste 210
Villanova, PA 19085
Phone (215) 254-6000

795 E Lancaster Ave
Ste 250
Villanova, PA 19085
Phone (215) 254-6000

Organizations & group practices 4

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1255826731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TWINING RD STE 120",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251832",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 DRESHER RD STE 1100",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442216",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 E Lancaster Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851525",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "CORINA",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029675",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP016209",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029675",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.