Kelly Elizabeth Campbell-wigington, PMHNP, FNP-BC in Fort Myers, FL

Kelly Elizabeth Campbell-wigington, PMHNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Myers, Florida. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivan L Mazzorana Jr Md Pa and her current practice location is 12590 Whitehall Dr Ste 3, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 939-9090.

Kelly Elizabeth Campbell-wigington is licensed to practice in Florida (license number APRN3076452) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275813719.

Contact Information

	Kelly Elizabeth Campbell-wigington, PMHNP, FNP-BC
	12590 Whitehall Dr Ste 3, Fort Myers, FL 33907-4680
	(239) 939-9090
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Elizabeth Campbell-wigington
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	12590 Whitehall Dr Ste 3, Fort Myers, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Elizabeth Campbell-wigington graduated from nursing school in 2011

NPI Data:

NPI Number: 1275813719
Provider Enumeration Date: 08/27/2011
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7911165253
Enrollment ID: I20120216000231

Medical Identifiers

Medical identifiers for Kelly Elizabeth Campbell-wigington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275813719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN3076452 (Florida)	Primary
363LF0000X	Nurse Practitioner - Family	3076452 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivan L Mazzorana Jr Md Pa	5395647754	13

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Elizabeth Campbell-wigington allows following entities to bill medicare on her behalf.

Entity Name	Ivan L Mazzorana Jr Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790877488 PECOS PAC ID: 5395647754 Enrollment ID: O20040126000086

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Elizabeth Campbell-wigington is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Elizabeth Campbell-wigington, PMHNP, FNP-BC 7890 Lake Sawgrass Loop, Fort Myers, FL 33907-6640 Ph: (239) 560-2179	Kelly Elizabeth Campbell-wigington, PMHNP, FNP-BC 12590 Whitehall Dr Ste 3, Fort Myers, FL 33907-4680 Ph: (239) 939-9090

Reviews and Comments

Nurse Practitioner Nurses in Fort Myers, FL

Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794

Kelly Elizabeth Campbell-wigington, PMHNP, FNP-BC - Medicare Nurse Practitioner in Fort Myers, FL