CMS-1500 Box 24J / 33a • NPI
1215953310
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
12207 PECOS ST, #300, WESTMINSTER, CO, 80031-3400
✓ 9-Digit EDI 837 ZIP+4 (80031-3400)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215953310 (ROBERT S CAMPBELL, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215953310 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT S CAMPBELL, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 12207 PECOS ST, #300, WESTMINSTER, CO, 80031-3400 |
| Practice Telephone / Fax | Tel: (303) 650-0445 | Fax: (303) 429-5088 |
| Administrative Mailing Address | 720 S COLORADO BLVD, GLENDALE, CO, 80246-1912 |
| Enumeration & Last Sync | Enumerated: 2006-07-14 | CMS Record Updated: 2010-02-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT S CAMPBELL, PA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: CO | License: 46 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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