TAYLOR CAMPBELL (PA-C) – Medical Physician Assistant, NPI 1164952735

TAYLOR CAMPBELL (PA-C) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9118653 (FL). The NPI Number for TAYLOR CAMPBELL (PA-C) is 1164952735

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR CAMPBELL (PA-C)
NPI
1164952735
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
15 June 2017
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778563774
Graduation Year
2017 (9 years ago)
PAC ID
3476822107
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20240829000967
Address ID
FL339037099NO3434XPKWY402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for TAYLOR CAMPBELL (PA-C)

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Fax: (239) 985-9634

    Type: Mailing

  • 2770 RYEWOOD AVE APT E

    COPLEY, OH 443212800

    Phone: (330) 958-4683

    Type: Mailing

  • 540 Griswold Rd

    Elyria, OH 440352305

    Phone: (833) 510-4357

    Type: Location

  • 5850 Ridge Rd

    Parma, OH 441293169

    Phone: (833) 510-4357

    Type: Location

  • Summa Health System – Akron Campus, 525, East Market Street, Arlington, Akron, Summit County, Ohio, 44304, United States

    AKRON, OH 443041619

    Phone: (330) 375-3361

    Type: Location

  • 13813 METRO PKWY

    FORT MYERS, FL 339124343

    Phone: (239) 938-1717

    Fax: (239) 985-9634

    Type: Location

  • 609 S CASCADE AVE APT 413

    COLORADO SPRINGS, CO 809033876

    Phone: (330) 958-4683

    Type: Mailing

  • 5446 N ACADEMY BLVD STE 104

    COLORADO SPRINGS, CO 809183668

    Phone: (719) 212-8899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $708.

Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.

Last reported payment date: 2024-04-12 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($473).

Total Amount

$708

General + Research + Ownership

Payments

7

Total payment records

General Amount

$708

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170711003688IPhysician AssistantOHTBD
I20240829000967IPhysician AssistantFLTBD

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 33901)

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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: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

What is the registry number for TAYLOR CAMPBELL (PA-C)?
The registry entry for TAYLOR CAMPBELL (PA-C) shows NPI 1164952735.
Should I treat TAYLOR CAMPBELL (PA-C) as an active provider?
Patients and plans typically see TAYLOR CAMPBELL (PA-C) as active in the national extract.
What does the directory say TAYLOR CAMPBELL (PA-C) does?
Insurance directories may phrase it differently, but here TAYLOR CAMPBELL (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to TAYLOR CAMPBELL (PA-C)?
The directory associates TAYLOR CAMPBELL (PA-C) with Fort Myers, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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