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

Q: 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.

Q: What is Camille Chan's specialty?

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

Q: 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 7 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 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: August 02, 2026.

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

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Other Providers at the Same Location NPPES

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

ASHLEY G SHEPARD APRN, FNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1150 E MATTHEWS AVE STE 101
JONESBORO, AR 72401

Craighead County (870) 243-0424

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.

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 7 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.