MR. NICHOLAS J CAMPO III PMHNP
NPI 1003071499
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Q: What is Nicholas Campo's NPI number?

The NPI number for Nicholas Campo is 1003071499. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Q: What is Nicholas Campo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Nicholas Campo enrolled in Medicare?

No. Nicholas Campo has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Campo was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2008Opted out of Medicare · through Jul 1, 2027

233 SW WILSON AVE STE 201, BEND, OR 97702(541) 382-8862(541) 382-8928 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Nicholas J Campo Iii Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICHOLAS J CAMPO III PMHNP (NPI 1003071499) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (200950092NP) and active in the NPI registry since July 2008. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003071499

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. NICHOLAS J CAMPO IIICredential: PMHNP

Location Address233 SW WILSON AVE STE 201Bend, OR 97702-2988

Mailing Address233 Sw Wilson Ave Ste 201Bend, OR 97702-2988 · (541) 382-8862 · Fax (541) 382-8928

Phone(541) 382-8862

Fax(541) 382-8928

Sole ProprietorNo

Enumeration DateJuly 24, 2008

Last NPPES UpdateJuly 15, 2016

✔ NPI 1003071499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 200950092NP✔ Licensed in AK · 1147

233 SW WILSON AVE STE 201, Bend, OR 97702

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Other Identifiers 1

Medicare OSCAR/certification1250802ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Nicholas J Campo Iii Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE GRANGER QMHP

Counselor

233 SW WILSON AVE STE 201
BEND, OR 97702

Deschutes County (541) 382-8862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Campo's NPI number?

The NPI number for Nicholas Campo is 1003071499. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Nicholas Campo located?

Nicholas Campo practices at 233 SW Wilson Ave Ste 201, Bend, OR 97702. The listed phone number is (541) 382-8862.

What is Nicholas Campo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicholas Campo enrolled in Medicare?

No. Nicholas Campo has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nicholas Campo accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nicholas Campo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Campo was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.