TAYLOR CAMPBELL PA-C
NPI 1164952735
Physician Assistant - Medical in Fort Myers, FL

Q: What is Taylor Campbell's NPI number?

The NPI number for Taylor Campbell is 1164952735. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Taylor Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Campbell was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 June 15, 2017PECOS EnrolledAccepts Medicare Assignment

13813 METRO PKWY, FORT MYERS, FL 33912(239) 938-1717(239) 985-9634 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Apr 12, 2023, Nov 10, 2021 and 2 more (5 updates tracked since 2017).

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About Taylor Campbell Pa-c NPPES

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

TAYLOR CAMPBELL PA-C (NPI 1164952735) is an individual medical provider in Fort Myers, Florida, licensed in Florida (PA9118653) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164952735

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTAYLOR CAMPBELLCredential: PA-C

Location Address13813 METRO PKWYFort Myers, FL 33912-4343

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 985-9634

Phone(239) 938-1717

Fax(239) 985-9634

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 15, 2017

Last NPPES UpdateJuly 11, 20255 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1164952735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9118653

13813 METRO PKWY, Fort Myers, FL 33912

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Secondary Practice Locations 2

Location 1540 Griswold RdElyria, OH 44035-2305 · Phone (833) 510-4357

Location 25850 Ridge RdParma, OH 44129-3169 · Phone (833) 510-4357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor Campbell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476822107

PECOS Enrollment IDI20240829000967

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Other Providers at the Same Location NPPES 20

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

MILLENNIUM PHYSICIAN GROUP LLC

Family Medicine