Active NPI
Jennifer N Campbell, APRN
- Primary Care Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APN.0994270-NP
- Practice address
- 880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171 - Phone
- (866) 849-0692
- NPI assigned
- Nov 1, 2018
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1221412 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 31674 | SC | |
| Gerontology Nurse Practitioner | 363LG0600X | APN.0994270-NP | CO | |
| Primary Care Nurse Practitioner | 363LP2300X | APN.0994270-NP | CO | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | APN.0994270-NP | CO | |
| Adult Health Nurse Practitioner | 363LA2200X | APN.0994270-NP | CO | |
| Primary Care Nurse Practitioner | 363LP2300X | 5024219 | NC | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11025924 | FL |
Addresses
Primary practice location
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Mailing address
4536 Captain Jack LN
Colorado Springs, CO 80924-8219
Phone (501) 680-6210
Other practice location 1
2405 Research Pkwy
Colorado Springs, CO 80920-1044
Phone (719) 522-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5130 Sunforest Dr
Suite 300
Tampa, FL 33634-6327
Phone (727) 824-0780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221412 | TX | MD | Acute Care Nurse Practitioner |
| 5024219 | NC | MD | Primary Care Nurse Practitioner |
| 31674 | SC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Current | Accepting new patients | |
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients |
Locations
1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900
2405 Research Pkwy
Colorado Springs, CO 80920
Phone (719) 268-2800
1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835
Interoperability endpoints
- jennifer.campbell@wellmed.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Tampa, FL
- NPI 1053384214
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1336616945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 CAPTAIN JACK LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809248219",
"telephone_number": "501-680-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SW 145TH AVE STE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276171",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [
{
"address_1": "2405 Research Pkwy",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809201044",
"country_code": "US",
"telephone_number": "719-522-1133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JENNIFER",
"middle_name": "N",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1221412",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "SC",
"license": "31674",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0994270-NP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "APN.0994270-NP",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "APN.0994270-NP",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "APN.0994270-NP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5024219",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11025924",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.