Individual provider Active NPI

Ignacio Campa-Garcia, PA

  • Physician Assistant
  • Dickson City, PA
National Provider Identifier
1265478648
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055359 Issued in PA
Practice address
334 Main St
Dickson City, PA 18519-1668
Phone
(865) 500-1668
NPI assigned
Jun 22, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58320 CA
Physician Assistant 363A00000X MA055359 PA Primary
Physician Assistant 363A00000X 7606 WI
Medical Physician Assistant 363AM0700X PA-597 ID

Addresses

Primary practice location

334 Main St
Dickson City, PA 18519-1668

Mailing address

3025 W Cherry LN
Suite B
Meridian, ID 83642-1125
Phone (208) 367-8550

Other practice location 1

1000 N Oak Avenue
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 2

3025 W Cherry Ln
Suite B
Meridian, ID 83642-1125
Phone (208) 367-8550

Other practice location 3

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, WI, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040806000378 MI Practitioner - Physician Assistant 5597737031 Reassigns benefits to 1 organization
I20220314000943 CA Practitioner - Physician Assistant 5597737031 Reassigns benefits to 2 organizations
I20230713003615 WI Practitioner - Physician Assistant 5597737031 Reassigns benefits to 8 organizations
I20240220000131 PA Practitioner - Physician Assistant 5597737031 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Interlochen Emergency Group PCGroup PAC ID 3577918606, 49 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58320CAMDPharmacist
7606WIMDPhysician Assistant
PA-597IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Jul 1, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 10, 2023 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Jan 8, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 10, 2023 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Apr 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 10, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 10, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jul 1, 2024 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Jul 1, 2024 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 10, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 10, 2023 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 10, 2023 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Solano Gateway Medical Group Inc Physician Assistant CurrentSince Jun 29, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 10, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 10, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 10, 2023 Accepting new patients
Geisinger Clinic Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant Past Accepting new patients

Locations

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

100 N Academy Ave
Danville, PA 17822

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: icampagarcia2252350@oc.providencedirect.org

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1265478648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 W CHERRY LN",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421125",
            "telephone_number": "208-367-8550",
            "fax_number": "208-367-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "865-500-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Avenue",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 W Cherry Ln",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421125",
            "country_code": "US",
            "telephone_number": "208-367-8550",
            "fax_number": "208-367-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPA-GARCIA",
        "first_name": "IGNACIO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58320",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055359",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7606",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.