Individual provider Active NPI

Lydia Jo Campbell, APRN

  • Certified Registered Nurse Anesthetist
  • Brooksville, FL
National Provider Identifier
1467513085
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9302121 Issued in FL
Practice address
15205 Cortez Blvd
Brooksville, FL 34613-6072
Phone
(352) 597-7744
Fax
(352) 597-7797
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9302121 FL Primary

Addresses

Primary practice location

15205 Cortez Blvd
Brooksville, FL 34613-6072

Mailing address

14746 Naimisha Loop
Spring Hill, FL 34609-0778
Phone (864) 488-6811

Other names 1

  • Ms. Lydia Kessluk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000230 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496755084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Gastroenterology PAGroup PAC ID 8921042417, 5 clinicians
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

12102 Cortez Blvd
Brooksville, FL 34613-5514
Phone (352) 597-4000

12102 Cortez Blvd FL
Suite 5514
Brooksville, FL 34613-5514

6225 66 St N
Pinellas Park, FL 33781-5025
Phone (727) 521-0994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1443SCMDRegistered Dietitian
APRN9302121FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology PA CurrentSince Dec 1, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Apr 1, 2019 Accepting new patients
West Central Gastroenterology LLP CurrentSince Apr 16, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Gaffney Hma LLC Past Accepting new patients
Anesthesiologist Associates PA Past Accepting new patients
Lancaster Anesthesia & Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

12102 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-4000

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1467513085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14746 NAIMISHA LOOP",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090778",
            "telephone_number": "864-488-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15205 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136072",
            "telephone_number": "352-597-7744",
            "fax_number": "352-597-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LYDIA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9302121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "KESSLUK",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.