Allyson Marie Campuzano, PA-C
Individual provider Active NPI Physician Assistant · Miami, FL
NPI 1407487481 · NPPES record last updated Feb 28, 2020
Key facts
- NPI
- 1407487481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9112923 (FL)
- Practice address
- 15955 SW 96TH St Ste 401
Miami, FL 33196-1273 - Phone
- (786) 467-3430
- Fax
- (786) 533-9695
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Orthopedics, LLC
Practice addresses (Care Compare)
5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3401
6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000
9555 SW 162 Ave
West Kendall Baptist Hospital
Miami, FL 33196-6408
Phone (786) 467-2000
Hospital & facility affiliations
- Doctors Hospital
- Baptist Hospital of Miami
- West Kendall Baptist Hospital
- South Miami Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 72.08
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200313000084 | FL | Practitioner - Physician Assistant | 6002244670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112923 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Orthopedics, LLC | Current |
Accepting new patients | |
| Baptist Health Medical Group Orthopedics, LLC | Current |
Accepting new patients |
Locations
8940 N Kendall Dr
Ste 602E
Miami, FL 33176
Phone (305) 598-3227
15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430
6200 SW 72nd St
Ste 602
South Miami, FL 33143
Phone (786) 662-0600
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
Interoperability endpoints
- allycamp@cerner.directbaptisthealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9112923 | FL | Yes |
Addresses
Primary practice location
15955 SW 96TH St Ste 401
Miami, FL 33196-1273
Mailing address
PO Box 100905
Atlanta, GA 30384-1273
Phone (786) 594-6880
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.