KEVIN CAMPBELL PA-C
NPI 1124484985
Physician Assistant in Hamtramck, MI

Q: What is Kevin Campbell's NPI number?

The NPI number for Kevin Campbell is 1124484985. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Kevin 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 Kevin Campbell was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 January 11, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3120 CARPENTER ST, HAMTRAMCK, MI 48212(313) 334-5380 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Dec 15, 2021, Jan 11, 2016 (3 updates tracked since 2016).

On this page

About Kevin Campbell Pa-c NPPES

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

KEVIN CAMPBELL PA-C (NPI 1124484985) is an individual physician assistant in Hamtramck, Michigan, licensed in Michigan (5601007625) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1124484985

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKEVIN CAMPBELLCredential: PA-C

Location Address3120 CARPENTER STHamtramck, MI 48212-9802

Mailing Address130 Town Center Dr, Ste 203Troy, MI 48084-1744

Phone(313) 334-5380

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 11, 2016

Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1124484985 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 MI · 5601007625

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.

3120 CARPENTER ST, Hamtramck, MI 48212

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Secondary Practice Locations 7

Location 11105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000

Location 21221 Sixth St Ste 100Traverse City, MI 49684-2359 · Phone (231) 392-8400

Location 31221 Sixth St Ste 300Traverse City, MI 49684-2360 · Phone (231) 935-0322

Location 4217 S Madison StTraverse City, MI 49684-2321 · Phone (231) 392-8400

Location 53537 W Front StTraverse City, MI 49684-7941 · Phone (231) 935-5880

Location 61345 E Parkdale AveManistee, MI 49660-9318 · Phone (231) 398-1750

Location 78872 Professional Dr Ste BCadillac, MI 49601-8482 · Phone (231) 779-0320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Kevin 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 ID7214233287

PECOS Enrollment IDI20160317000774

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

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 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI

OwnershipGovernment - Local

CMS Certification Number231300

Location224 Park AvenueFrankfort, MI 49635 · Benzie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48212 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 17

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

DR. OBIOMA S AGOMUOH M.D.

Family Medicine

3120 CARPENTER ST, SUITE 111
HAMTRAMCK, MI 48212

Wayne County (313) 893-8314

FAMILY CARE CENTER OF HAMTRAMCK PC

Internal Medicine

3120 CARPENTER ST, STE 301
HAMTRAMCK, MI 48212

Wayne County (313) 369-1600

QUADIR JALEEL MD PC

Internal Medicine

3120 CARPENTER ST
HAMTRAMCK, MI 48212

Wayne County (313) 891-8246

MADISON MEDICAL P.C

Specialist

3120 CARPENTER ST
HAMTRAMCK, MI 48212

Wayne County (313) 369-3379

ADULT & PEDIATRIC M D PLLC

Family Medicine

3120 CARPENTER ST, SUITE 201
HAMTRAMCK, MI 48212

Wayne County (313) 909-3694

DR. THAIR STIPHO

Dentist (General Practice)

3120 CARPENTER ST
HAMTRAMCK, MI 48212

Wayne County (313) 369-3385

DR. QUADIR JALEEL M.D.

Internal Medicine

3120 CARPENTER ST, SUITE 207
HAMTRAMCK, MI 48212

Wayne County (313) 891-8246

MOHAMMAD MUSTAFIZUR RAHMAN PTC

Pharmacy Technician

3120 CARPENTER ST
HAMTRAMCK, MI 48212

Wayne County (313) 893-3000

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 Kevin Campbell's NPI number?

The NPI number for Kevin Campbell is 1124484985. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Kevin Campbell located?

Kevin Campbell practices at 3120 Carpenter St, Hamtramck, MI 48212. The listed phone number is (313) 334-5380.

What is Kevin Campbell's specialty?

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

Is Kevin Campbell enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Campbell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kevin 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.

Is Kevin Campbell affiliated with any hospitals?

According to CMS data, Kevin Campbell is affiliated with Munson Medical Center and Paul Oliver Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Campbell was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.