Individual provider Active NPI

Bobbi-Jo Campbell, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1316447626
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02180134 Issued in AZ
Practice address
11683 W Cactus Wren CT
Surprise, AZ 85378-2568
Phone
(315) 374-2570
NPI assigned
Feb 14, 2018
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02180134 AZ Primary

Addresses

Primary practice location

11683 W Cactus Wren CT
Surprise, AZ 85378-2568

Mailing address

11683 W Cactus Wren CT
Surprise, AZ 85378-2568
Phone (315) 374-2570

Other practice location 1

150 Washington Ave Ste 201-220
Santa Fe, NM 87501-2073
Phone (866) 949-0108

Other identifiers 1

IdentifierTypeStateIssuer
470158MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180615001805 AZ Practitioner - Nurse Practitioner 8628323664 Reassigns benefits to 2 organizations
I20240904002312 FL Practitioner - Nurse Practitioner 8628323664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

1000 Lakeview Rd
Suite 6
Clearwater, FL 33756-3475
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02180134AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. Nurse Practitioner CurrentSince Nov 21, 2024 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Jan 5, 2024 Accepting new patients
Rhad Health Care LLC CurrentSince May 6, 2024 Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 22, 2021 Accepting new patients

Locations

6915 E Main St
Ste 200
Mesa, AZ 85207

10844 N 23rd Ave
Ste 100
Phoenix, AZ 85029
Phone (602) 208-2800

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

10601 W Santa Fe Dr
Sun City, AZ 85351
Phone (623) 832-7000

14002 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-1141

1000 Lakeview Rd
Ste 6
Clearwater, FL 33756
Phone (727) 447-2650

2216 Highway 44 W
Inverness, FL 34453
Phone (352) 341-0009

1357 N Tamiami Trl
Unit B
North Fort Myers, FL 33903

3233 SW 33rd Rd
Ste 202
Ocala, FL 34474
Phone (352) 433-2883

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

Interoperability endpoints

  • Direct secure messaging: bobbijo.campbell.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 5

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1316447626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11683 W CACTUS WREN CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853782568",
            "telephone_number": "315-374-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11683 W CACTUS WREN CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853782568",
            "telephone_number": "315-374-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Washington Ave Ste 201-220",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012073",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BOBBI-JO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F02180134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470158",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.