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MS. KATHLEEN ANNE CAMPOS-GATJENS FNP
NPI 1164760807
Nurse Practitioner - Family in Staten Island, NY

Active since January 30, 2013PECOS Enrolled
1050 CLOVE RD, STATEN ISLAND, NY 10301(718) 816-6440 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2021, Nov 9, 2017, Jul 18, 2017 (3 updates tracked since 2017).

About Ms. Kathleen Anne Campos-gatjens Fnp NPPES

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

MS. KATHLEEN ANNE CAMPOS-GATJENS FNP (NPI 1164760807) is an individual family provider in Staten Island, New York, licensed in New York (336710) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164760807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHLEEN ANNE CAMPOS-GATJENSCredential: FNP
Location Address1050 CLOVE RDStaten Island, NY 10301-3627
Mailing Address55 Water St Fl 12New York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(718) 816-6440
Sole ProprietorNo
Enumeration DateJanuary 30, 2013
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1164760807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 336710
1050 CLOVE RD, Staten Island, NY 10301
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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 (PECOS)

Ms. Kathleen Anne Campos-gatjens Fnp 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 10301 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

DEEPAK VADADA MD
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
MS. KERRIE MOLLOY-BARR N.P.
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
ASHRAF SABRY HANNA MD
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
DR. KEITH JOSEPH DAHL D.O.
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
LANCE JUNG MD
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
ADVANTAGECARE PHYSICIANS PC
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Richmond County (646) 680-1525
MARCELINA MEDRANO MD
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
JAMES GERARD REILLY D.O.
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440

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 Kathleen Campos-gatjens's NPI number?

The NPI number for Kathleen Campos-gatjens is 1164760807. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Kathleen Campos-gatjens located?

Kathleen Campos-gatjens practices at 1050 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 816-6440.

What is Kathleen Campos-gatjens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Campos-gatjens enrolled in Medicare?

Yes. Kathleen Campos-gatjens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Campos-gatjens was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.