KAITLYN CAMPO – Physician Assistant, NPI 1790336782

KAITLYN CAMPO is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. The NPI Number for KAITLYN CAMPO is 1790336782

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN CAMPO
NPI
1790336782
Phone
(813) 792-9843
Address
11603 SHELDON RD
Enumeration Date
22 September 2019
Last Update Date
22 September 2019

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
8139603228
Graduation Year
2019 (7 years ago)
PAC ID
2163909078
Group Practice PAC ID
6002987039
Professional Enrollment ID
I20260122001998
Address ID
FL336183505TA11809HWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KAITLYN CAMPO

  • 11603 SHELDON RD

    TAMPA, FL 336264306

    Phone: (813) 792-9843

    Type: Location

  • 7207, Gennaker Drive, Tampa, Hillsborough County, Florida, 33607, United States

    TAMPA, FL 336075896

    Phone: (407) 625-6782

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $881.

Total Amount is formed as General ($881) + Research ($0) + Ownership ($0) = $881.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($391).

Total Amount

$881

General + Research + Ownership

Payments

18

Total payment records

General Amount

$881

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2026-01-22

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
I20260122001998IPhysician 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 33626)

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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: 6002987039View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for KAITLYN CAMPO?
Save NPI 1790336782 if you need a stable reference for KAITLYN CAMPO.
Is KAITLYN CAMPO active in the national directory?
KAITLYN CAMPO's public NPI profile is in an active state.
What field does KAITLYN CAMPO work in?
You can think of KAITLYN CAMPO as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KAITLYN CAMPO practice in Florida?
You will see Tampa, Florida on file for KAITLYN CAMPO alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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