NPIMap

Individual provider Active NPI

Candice C. Ocampo, N.P.

  • Acute Care Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1356711980
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5008012 Issued in NC
Practice address
1000 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-5515
Phone
(804) 320-4243
Fax
(804) 622-0552
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5008012 NC Primary

Addresses

Primary practice location

1000 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-5515

Mailing address

1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515
Phone (804) 320-4243

Other identifiers 2

IdentifierTypeStateIssuer
1356711980MedicaidNC
NP3481MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candiceocampo@par.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214000733 VA Practitioner - Nurse Practitioner 2567763519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Associates of Richmond IncGroup PAC ID 8123095577, 49 clinicians

Practice addresses (Care Compare)

1000 Boulders Pkwy
Suite 101
North Chesterfield, VA 23225-5515
Phone (804) 320-4341

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
71.96
Promoting interoperability
99
Improvement activities
40
Cost
77.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Richmond Inc CurrentSince Oct 8, 2016 Accepting new patients
Commonwealth Infectious Diseases, LLC PastSince May 25, 2021 Accepting new patients

Locations

2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261

1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134

1000 Boulders Pkwy
Ste 201
North Chesterfield, VA 23225
Phone (804) 591-3134

1000 Boulders Pkwy
Ste 101
North Chesterfield, VA 23225
Phone (804) 320-4341

1000 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 601-0609

Organizations & group practices 2

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1356711980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "CANDICE",
        "middle_name": "C.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5008012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356711980",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3481",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candiceocampo@par.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1000 Boulders Pkwy Ste 200",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232255515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.