Andy Michael Campos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA91085200 Issued in FL

Practice address

1381 S Patrick Dr Ofc Rm2017
Patrick AFB, FL 32925-3606

Phone

(321) 494-8159

NPI assigned

Jan 27, 2015

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Adventist Health System Sunbelt, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610
  Medicare reassignment
• Adventist Health System /Sunbelt, Inc.

  dba AdventHealth Centra Care Poinciana

  • Urgent Care Clinic/Center
  • Kissimmee, FL
  • NPI 1629624432

  Physician Assistant

  NPD
• Adventist Health System/ Sunbelt, Inc.

  dba AdventHealth Centra Care - Southern Trace

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Physician Assistant

  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Delray Beach, FL
  • NPI 1053363457
  NPD (past)
• Florida Pain and Rehabilitation Institute Inc

  dba National Pain Institute

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1356345060
  NPD (past)
• Institute of Endocrinology Diabetes Health and Hormones

  • Endocrinology, Diabetes & Metabolism Physician
  • Panama City, FL
  • NPI 1376951541
  NPD (past)
• Osceola Endocrine Consultants, Inc

  • Specialist
  • Kissimmee, FL
  • NPI 1568419703
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1801286927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR OFC RM2017",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "321-494-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR OFC RM2017",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "321-494-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414420",
            "country_code": "US",
            "telephone_number": "407-962-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "ANDY",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108520",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA91085200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Gines Botardo, MD
• Wade J Bravo, PA
• Thomas James Brown, PA-C
• Jared Buchanon
• Cara Lee Caddy
• Alesia Christen Carrizales, MD
• Arthur Carrizales, MD
• Elizabeth Cassidy, COTA/L
• Stephen Chase, DSW, LCSW
• Joseph Edward Cheries, PSY. D.

• Physician Assistant in Patrick AFB, FL
• Providers in Patrick AFB, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.