Individual provider Active NPI

Alexander John Camp

  • Medical Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1831774959
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1311 N 6TH St
Milwaukee, WI 53212-4006
Phone
(414) 223-6800
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1311 N 6TH St
Milwaukee, WI 53212-4006

Mailing address

PO Box 18412
Palatine, IL 60055-8412
Phone (866) 525-5484

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
I20210914003074 WI Practitioner - Physician Assistant 8426454539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

1212 57TH St
Kenosha, WI 53140-4069
Phone (414) 225-1568

1311 N 6TH St
Milwaukee, WI 53212-4006
Phone (414) 223-6800

445 S Adams St
Green Bay, WI 54301-4107
Phone (414) 225-1568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Jul 26, 2021 Accepting new patients

Locations

445 S Adams St
Green Bay, WI 54301
Phone (920) 437-7400

1212 57th St
Kenosha, WI 53140
Phone (414) 225-1568

600 Williamson St
Ste H
Madison, WI 53703
Phone (608) 252-6540

1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

820 N Plankinton Ave
Milwaukee, WI 53203
Phone (414) 225-1542

Interoperability endpoints

  • Direct secure messaging: acamp335924@direct.ochin.org

Organizations & group practices 2

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1831774959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18412",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558412",
            "telephone_number": "866-525-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124006",
            "telephone_number": "414-223-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.