Active NPI
Patricia Lynne Campbell, ARNP
- Acute Care Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11018499
- Practice address
- 13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347 - Phone
- (239) 343-3800
- Fax
- (239) 343-3993
- NPI assigned
- Feb 1, 2007
- Last updated
- Mar 20, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5008031 | NC | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024171335 | VA | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11018499 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11018499 | FL |
Addresses
Primary practice location
13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3800
Other practice location 1
200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437
Other practice location 2
2780 Cleveland Ave Ste 819
Fort Myers, FL 33901-5817
Phone (239) 343-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114475100 | Medicaid | FL |
Other names 1
- Lynne W Campbell
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcampbell261700@direct.novanthealth.org | ||
| Direct Messaging Address | pcampbell296083@Direct.leememorial.org | Direct | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
- 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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
13685 Doctors Way
Fort Myers, FL 33912-4347
1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008031 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Nurse Practitioner | Current | Accepting new patients |
| Lee Memorial Health System | Nurse Practitioner | Current | Accepting new patients |
| Collier Hma Physician Management LLC | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
13685 Doctors Way
Ste 350
Fort Myers, FL 33912
Phone (239) 343-1000
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
2780 Cleveland Ave
Ste 819
Fort Myers, FL 33901
Phone (239) 336-6800
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
9800 S Healthpark Dr
Ste 320
Fort Myers, FL 33908
Phone (239) 343-6350
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1080 First Colonial Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 395-1880
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- pcampbell296083@direct.leememorial.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Nurse Practitioner
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH- Pediatric Ophthalmology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282979
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1376681767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-3800",
"fax_number": "239-343-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13685 DOCTORS WAY STE 350",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124347",
"telephone_number": "239-343-3800",
"fax_number": "239-343-3993"
}
],
"practiceLocations": [
{
"address_1": "200 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042515",
"country_code": "US",
"telephone_number": "704-384-9437",
"fax_number": "704-384-9440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2780 Cleveland Ave Ste 819",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339015817",
"country_code": "US",
"telephone_number": "239-343-3800",
"fax_number": "239-343-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PATRICIA",
"middle_name": "LYNNE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5008031",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024171335",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11018499",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11018499",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114475100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcampbell261700@direct.novanthealth.org",
"affiliation": "N",
"address_1": "6101 Pine Ridge Rd",
"city": "Naples",
"state": "FL",
"country_code": "US",
"postal_code": "341193900",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcampbell296083@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LYNNE",
"last_name": "CAMPBELL",
"middle_name": "W",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.