IRVING JOSEPH CAMPBELL (APRN) – Nurse Practitioner, NPI 1093482093

IRVING JOSEPH CAMPBELL (APRN) is a healthcare provider. based in Boca raton, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11014498 (FL). The NPI Number for IRVING JOSEPH CAMPBELL (APRN) is 1093482093

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
IRVING JOSEPH CAMPBELL (APRN)
NPI
1093482093
Phone
(561) 299-3667
Address
1825 NW CORPORATE BLVD
Enumeration Date
26 August 2021
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722416230
Graduation Year
2021 (5 years ago)
PAC ID
0840660833
Group Practice PAC ID
3971554825
Professional Enrollment ID
I20230109002058
Address ID
FL349475492FO5000XRDXX302

Contacts

Secure Messaging
ic399@mynsu.nova.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for IRVING JOSEPH CAMPBELL (APRN)

  • 1825 NW CORPORATE BLVD

    BOCA RATON, FL 334318554

    Phone: (561) 299-3667

    Fax: (844) 325-0563

    Type: Mailing

  • 3000 CORAL HILLS DR

    CORAL SPRINGS, FL 330654108

    Phone: (954) 344-3000

    Type: Location

  • 9109 S US Highway 1 Ste 102

    Port St Lucie, FL 349523453

    Phone: (772) 253-2642

    Fax: (772) 253-1643

    Type: Location

  • 672 SW Prima Vista Blvd Ste 102

    Port St Lucie, FL 349831820

    Phone: (772) 905-2560

    Fax: (772) 336-8341

    Type: Location

  • PO BOX 4189

    DEERFIELD BEACH, FL 334424189

    Phone: (954) 363-9582

    Fax: (954) 363-9663

    Type: Mailing

  • 1485 GATEWAY BLVD STE 101

    BOYNTON BEACH, FL 334268313

    Phone: (561) 231-6999

    Fax: (561) 231-9696

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $321.

Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($140).

Total Amount

$321

General + Research + Ownership

Payments

6

Total payment records

General Amount

$321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230109002058INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971554825View full group profile

Reviews

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Frequently asked questions

Is IRVING JOSEPH CAMPBELL (APRN) listed with a National Provider Identifier?
Yes — IRVING JOSEPH CAMPBELL (APRN) has NPI 1093482093 on file in the registry.
Is there an active status for IRVING JOSEPH CAMPBELL (APRN)?
For scheduling context, IRVING JOSEPH CAMPBELL (APRN) is shown as active in the registry.
What area of care is associated with IRVING JOSEPH CAMPBELL (APRN)?
IRVING JOSEPH CAMPBELL (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is IRVING JOSEPH CAMPBELL (APRN) associated with Boca Raton?
Public fields place IRVING JOSEPH CAMPBELL (APRN) around Boca Raton, Florida. Always confirm the exact site before visiting.
Does IRVING JOSEPH CAMPBELL (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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