Individual provider Active NPI

Abigail Tiodin Vancampenhout, APNP, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1487355822
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040590 Issued in FL
Practice address
2095 US Highway 1 S
St Augustine, FL 32086-6000
Phone
(866) 765-2684
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13682-33 WI
Family Nurse Practitioner 363LF0000X APRN11040590 FL Primary
Registered Nurse 163W00000X 170690-30 WI

Addresses

Primary practice location

2095 US Highway 1 S
St Augustine, FL 32086-6000

Mailing address

2095 US Highway 1 S
Saint Augustine, FL 32086-6000
Phone (414) 391-1424

Other practice location 1

N51W24953 Lisbon Rd
Sussex, WI 53089
Phone (262) 532-8691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230407000622 WI Practitioner - Nurse Practitioner 9335514280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170690-30WIMDRegistered Nurse
13682-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 7, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 7, 2023 Accepting new patients

Locations

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

1271 N 6th St
Milwaukee, WI 53212
Phone (414) 978-9037

N51W24953 Lisbon Rd
Pewaukee, WI 53072
Phone (262) 532-8691

801 E Sunset Dr
Waukesha, WI 53189
Phone (262) 532-3691

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

2180 S Main St
West Bend, WI 53095
Phone (262) 334-8510

Interoperability endpoints

  • Direct secure messaging: atiodinrn47162@direct.froedtert.com

Organizations & group practices 3

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1487355822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 US HIGHWAY 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866000",
            "telephone_number": "414-391-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866000",
            "telephone_number": "866-765-2684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N51W24953 Lisbon Rd",
            "address_purpose": "LOCATION",
            "city": "Sussex",
            "state": "WI",
            "postal_code": "53089",
            "country_code": "US",
            "telephone_number": "262-532-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCAMPENHOUT",
        "first_name": "ABIGAIL",
        "middle_name": "TIODIN",
        "name_prefix": "Mrs.",
        "credential": "APNP, FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13682-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040590",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "170690-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.