Justin Andrew Campbell

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13476 Issued in TX

Practice address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone

(210) 916-4185

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Spine and Pain Management PLLCGroup PAC ID 5092086884, 3 clinicians

Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Usacs Critical Care Medicine Services of Texas PLLCGroup PAC ID 1153681796, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Usacs Critical Care Medicine Services of Texas, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Cedar Park, TX
  • NPI 1023522554

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Alliance Spine and Pain Management, PLLC

  dba Freedom Spine & Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Boerne, TX
  • NPI 1740731074
  Medicare reassignment Care Compare group
• Central Texas Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • San Marcos, TX
  • NPI 1205690765
  Medicare reassignment
• University of Texas Health Science Center at San Antonio

  dba UT Health Physicians

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment
• The San Antonio Orthopaedic Group, LLP

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1457429375

  Multi-Specialty

  NPD (past)
• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sid Peterson Memorial Hospital

  dba Peterson Regional Medical Center

  • Rural Acute Care Hospital
  • Kerrville, TX
  • NPI 1790782704
  Care Compare affiliation

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700442258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 BRANDEIS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491700",
            "telephone_number": "832-398-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3698 Chambers Pass Ste B",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "782347767",
            "country_code": "US",
            "telephone_number": "210-916-8201",
            "fax_number": "210-916-9678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Concord Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782166991",
            "country_code": "US",
            "telephone_number": "210-804-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19138 US Highway 281 N Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584988",
            "country_code": "US",
            "telephone_number": "210-804-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JUSTIN",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barrett Hunter Campbell, MD
• Benjamin Campbell, DPT
• Elizabeth Ann Campbell, MD
• Jason Campbell, PSY.D.
• Jennifer L Campbell, FNP
• Stuart Murray Campbell, MPT
• Francisco Martin Cancino, PTA
• Jill Marie Cancio, OTD, OTR/L, CHT
• Leonard I. Cancio, OTR/L, CHT
• Leopoldo Carlos Cancio, MD

• Physician Assistant in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.