MS. NICOLE CAMPBELL PA-C
NPI 1104545433
Physician Assistant in Syracuse, NY

Q: What is Nicole Campbell's NPI number?

The NPI number for Nicole Campbell is 1104545433. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Nicole Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Campbell was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment

301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-6569 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 6, 2022, Aug 22, 2022 (2 updates tracked since 2022).

On this page

About Ms. Nicole Campbell Pa-c NPPES

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

MS. NICOLE CAMPBELL PA-C (NPI 1104545433) is an individual physician assistant in Syracuse, New York, licensed in New York (028490-01) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104545433

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. NICOLE CAMPBELLCredential: PA-C

Location Address301 PROSPECT AVESyracuse, NY 13203-1807

Mailing Address301 Prospect AveSyracuse, NY 13203-1807

Phone(315) 448-6569

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 22, 2022

Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1104545433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 028490-01

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 PROSPECT AVE, Syracuse, NY 13203

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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

Ms. Nicole 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 ID4486021896

PECOS Enrollment IDI20221027001680

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services147 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

67 services67 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.

13 services13 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330140

Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County

Emergency services Birthing friendly

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330235

Location17 Lansing StreetAuburn, NY 13021 · Cayuga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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 20

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

DR. JOSHUA AUSTIN JOHNSON DO

Family Medicine

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5111

TYLER GRANT RN

Nurse Anesthetist, Certified Registered

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5111

MELISSA SCHREIBER RD

Dietitian, Registered

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 726-7755

DR. JOAN E THORNTON MD

Anesthesiology

301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203

Onondaga County (315) 299-5451

DR. MIHAEL J PUC MD

Anesthesiology

301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203

Onondaga County (315) 448-5440

DAVID J. SEELEY M.D.

Emergency Medicine

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5101

PAMELA MARIE HOWARD LPN

Licensed Practical Nurse

301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203

Onondaga County (315) 448-5111

SAMI SAMAIN MD

Student in an Organized Health Care Education/Training Program

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5536

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 Nicole Campbell's NPI number?

The NPI number for Nicole Campbell is 1104545433. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Nicole Campbell located?

Nicole Campbell practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-6569.

What is Nicole Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Campbell enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Campbell affiliated with any hospitals?

According to CMS data, Nicole Campbell is affiliated with St Joseph's Hospital Health Center and Auburn Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Campbell was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.