1. Home
  2. Directory
  3. Florida
  4. Debary
  5. Nurse Practitioner
  6. NPI Profile

MR. GARY LEE CAMPBELL JR. ARNP, FNP-C
NPI 1790295582
Nurse Practitioner - Family in Debary, FL

Active since October 05, 2017PECOS EnrolledAccepts Medicare Assignment
50 SPRING VISTA DR, DEBARY, FL 32713(386) 748-3900 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Mar 31, 2020, Jun 18, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Gary Lee Campbell Jr. Arnp, Fnp-c NPPES

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

MR. GARY LEE CAMPBELL JR. ARNP, FNP-C (NPI 1790295582) is an individual family provider in Debary, Florida, licensed in Florida (9249219) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Fish Memorial, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790295582
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. GARY LEE CAMPBELL JR.Credential: ARNP, FNP-C
Location Address50 SPRING VISTA DRDebary, FL 32713
Mailing Address50 Spring Vista DrDebary, FL 32713-1809 · (386) 279-3087
Phone(386) 748-3900
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 5, 2017
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1790295582 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 · 9249219
50 SPRING VISTA DR, Debary, FL 32713
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gary Lee Campbell Jr. Arnp, Fnp-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 ID4688934565
PECOS Enrollment IDI20180214002484
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 Gary Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohana Health P.A.
Same address
Internal Medicine
50 SPRING VISTA DR
Debary, FL 32713
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1639691215 (386) 748-3900

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32713 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.

Other Providers at the Same Location NPPES 5

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

SPAHANA HEALTH, INC.
Internal Medicine
50 SPRING VISTA DR
DEBARY, FL 32713
Volusia County (386) 279-3087
DR. KRISTYNA D PARADIS DO
Internal Medicine
50 SPRING VISTA DR
DEBARY, FL 32713
Volusia County (386) 279-3087
DR. DENISE-JOY ELIZABETH PERRAS DMD
Dentist (General Practice)
50 SPRING VISTA DR
DEBARY, FL 32713
Volusia County (386) 753-0036
DR. SCOTT ANDREW PERRAS DMD
Dentist (General Practice)
50 SPRING VISTA DR
DEBARY, FL 32713
Volusia County (386) 753-0036
OHANA HEALTH P.A.
Internal Medicine
50 SPRING VISTA DR
DEBARY, FL 32713
Volusia County (386) 748-3900

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 Gary Campbell's NPI number?

The NPI number for Gary Campbell is 1790295582. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Gary Campbell located?

Gary Campbell practices at 50 Spring Vista Dr, Debary, FL 32713. The listed phone number is (386) 748-3900.

What is Gary Campbell's specialty?

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

Is Gary Campbell enrolled in Medicare?

Yes. Gary Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gary Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Campbell reassigns Medicare benefits to Ohana Health P.A. (Debary, 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 Gary Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gary Campbell affiliated with any hospitals?

According to CMS data, Gary Campbell is affiliated with Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Gary Campbell was last updated on July 9, 2024. 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.