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SHIRLEY O WHITE-CAMPBELL APRN
NPI 1285096362
Nurse Practitioner - Family in Lake Wales, FL

Active since March 28, 2016PECOS Enrolled
229 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 282-6441(863) 208-9190 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Sep 2, 2020, Mar 17, 2020 and 3 more (6 updates tracked since 2016).

About Shirley O White-campbell Aprn NPPES

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

SHIRLEY O WHITE-CAMPBELL APRN (NPI 1285096362) is an individual family provider in Lake Wales, Florida, licensed in Florida (ARNP9325964) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Wales.

NPPES Registry Identity

NPI1285096362
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIRLEY O WHITE-CAMPBELLCredential: APRN
Location Address229 STATE ROAD 60 ELake Wales, FL 33853-3749
Mailing Address229 State Road 60 ELake Wales, FL 33853-3749 · (863) 282-6441 · Fax (863) 208-9190
Phone(863) 282-6441
Fax(863) 208-9190
Sole ProprietorNo
Enumeration DateMarch 28, 2016
Last NPPES UpdateOctober 23, 20236 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1285096362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9325964
229 STATE ROAD 60 E, Lake Wales, FL 33853
Open in Google Maps ↗

Secondary Practice Location 1

Location 1229 State Road 60 ELake Wales, FL 33853-3749 · Phone (863) 282-6441 · Fax (863) 208-9190

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley O White-campbell Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shirley White-campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Universal Tele-Health & Wellness Inc
10 mi
Family Medicine
2128 CLERMONT ST
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
NPI 1053068205 (863) 282-6441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Shirley White-campbell's NPI number?

The NPI number for Shirley White-campbell is 1285096362. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Shirley White-campbell located?

Shirley White-campbell practices at 229 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 282-6441.

What is Shirley White-campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shirley White-campbell enrolled in Medicare?

Yes. Shirley White-campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirley White-campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley White-campbell reassigns Medicare benefits to Universal Tele-Health & Wellness Inc (Winter Haven, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley White-campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley White-campbell accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Shirley White-campbell 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 Shirley White-campbell was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.