ANGELINA SUZANNE CAMPOS (NP) – Nurse Practitioner, NPI 1104467042
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for ANGELINA SUZANNE CAMPOS (NP)
2428 W REYNOLDS AVE
CENTRALIA, WA 985314554
Phone: (360) 330-9044
Type: Mailing
933, Bradbury Drive Southeast, Albuquerque, Bernalillo County, New Mexico, 87106, United States
ALBUQUERQUE, NM 871064374
Phone: (505) 272-2111
Type: Mailing
Bernalillo County Departmentof Substance Abuse, 5901, Zuni Road Southeast, International District, Albuquerque, Bernalillo County, New Mexico, 87108, United States
ALBUQUERQUE, NM 871083073
Phone: (505) 306-8949
Type: Location
5615 DUNBARTON AVE
PASCO, WA 993018216
Phone: (509) 222-1275
Fax: (509) 491-3031
Type: Mailing
8400 OSUNA RD NE STE 2D
ALBUQUERQUE, NM 871112069
Phone: (877) 522-1275
Fax: (509) 491-3031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Indivior Inc. ($238).
Total Amount
$238
General + Research + Ownership
Payments
20
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $238 |
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: 2024-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210902000824 | I | Nurse Practitioner | WA | TBD |
| I20240128000238 | I | Nurse Practitioner | OR | TBD |
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.
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 98531)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | OR | |
| General Practice, Psychiatry | NC | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | WA | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | OR |
Reviews
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