Individual provider Active NPI

Gerlyn Campbell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1639455819
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9474992 Issued in FL
Practice address
118 W Orange St
Altamonte Springs, FL 32714-2537
Phone
(800) 457-4573
Fax
(800) 443-6422
NPI assigned
Nov 1, 2011
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9474992 FL Primary

Addresses

Primary practice location

118 W Orange St
Altamonte Springs, FL 32714-2537

Mailing address

15544 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (352) 504-0340

Other practice location 1

248 Oxford St
Rochester, NY 14607-2146
Phone (585) 967-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191107001772 AZ Practitioner - Nurse Practitioner 8426398207 Reassigns benefits to 1 organization
I20240409004766 FL Practitioner - Nurse Practitioner 8426398207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
80.53
Improvement activities
40
Cost
75.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Harmony United Florida, LLC CurrentSince May 6, 2024 Accepting new patients
Jewish Family & Children's Service CurrentSince Sep 1, 2019 Accepting new patients
Jewish Family & Children's Service CurrentSince Sep 1, 2019 Accepting new patients
Harmony United Pennsylvania PLLC PastSince Apr 9, 2024 Accepting new patients

Locations

5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

118 W Orange St
Altamonte Springs, FL 32714
Phone (321) 422-0574

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

1277 N Semoran Blvd
Ste 112
Orlando, FL 32807
Phone (800) 457-4457

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1639455819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15544 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879556",
            "telephone_number": "352-504-0340",
            "fax_number": "800-443-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W ORANGE ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142537",
            "telephone_number": "800-457-4573",
            "fax_number": "800-443-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Oxford St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146072146",
            "country_code": "US",
            "telephone_number": "585-967-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GERLYN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9474992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.