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CAMILLE C CHAN D.O.
NPI 1154873545
Pediatrics in Jonesboro, AR

Active since November 01, 2016PECOS Enrolled
1150 E MATTHEWS AVE STE 101, JONESBORO, AR 72401(870) 936-8000(870) 934-3663 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2018, Nov 1, 2016 (2 updates tracked since 2016).

About Camille C Chan D.o. NPPES

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

CAMILLE C CHAN D.O. (NPI 1154873545) is an individual pediatrics provider in Jonesboro, Arkansas, licensed in Arkansas (E-11422) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154873545
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAMILLE C CHANCredential: D.O.
Location Address1150 E MATTHEWS AVE STE 101Jonesboro, AR 72401-4356
Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 936-8000 · Fax (870) 934-3663
Phone(870) 936-8000
Fax(870) 934-3663
Sole ProprietorNo
Enumeration DateNovember 1, 2016
Last NPPES UpdateOctober 10, 20182 updates tracked since enumeration
✔ NPI 1154873545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-11422
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1150 E MATTHEWS AVE STE 101, Jonesboro, AR 72401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille C Chan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Camille Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Bernards Hospital Inc.
0.7 mi
General Acute Care Hospital
225 E WASHINGTON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 318 clinicians in this Medicare group
NPI 1396053096 (870) 207-4100
Washington Regional Medical System
194 mi
Hospitalist
3215 N NORTH HILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 123 clinicians in this Medicare group
NPI 1306801485 (479) 463-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Camille Chan's NPI number?

The NPI number for Camille Chan is 1154873545. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Camille Chan located?

Camille Chan practices at 1150 E Matthews Ave Ste 101, Jonesboro, AR 72401. The listed phone number is (870) 936-8000.

What is Camille Chan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Camille Chan enrolled in Medicare?

Yes. Camille Chan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Camille Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Chan reassigns Medicare benefits to 2 organizations: St Bernards Hospital Inc. (Jonesboro, AR) and Washington Regional Medical System (Fayetteville, AR). Each 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 Camille Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Chan accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Camille Chan 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.

When was this NPI record last updated?

The NPPES record for Camille Chan was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.