Individual provider Active NPI

Yamislaide Campos, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1497623870
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041658 Issued in FL
Practice address
3487 Broadway
Fort Myers, FL 33901-7213
Phone
(239) 334-9555
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11041658 FL Primary

Addresses

Primary practice location

3487 Broadway
Fort Myers, FL 33901-7213

Mailing address

3487 Broadway
Fort Myers, FL 33901-7213
Phone (239) 334-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251208002228 FL Practitioner - Nurse Practitioner 7214421205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The McGregor Clinic, IncGroup PAC ID 7810164688, 3 clinicians

Practice addresses (Care Compare)

3487 Broadway
Suite 100
Fort Myers, FL 33901-7213
Phone (239) 334-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041658FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The McGregor Clinic, Inc CurrentSince Dec 5, 2025 Accepting new patients

Locations

3487 Broadway
Fort Myers, FL 33901
Phone (239) 334-2555

3487 Broadway
Ste 100
Fort Myers, FL 33901

Organizations & group practices 1

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1497623870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "YAMISLAIDE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.