YANIQUE SHANTEL CAMPBELL
NPI 1194493189
Physician Assistant in Brooklyn, NY

Active since September 02, 2021PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
4108 AVENUE U, BROOKLYN, NY 11234(832) 485-4003 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yanique Shantel Campbell NPPES

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

YANIQUE SHANTEL CAMPBELL (NPI 1194493189) is an individual physician assistant in Brooklyn, New York, licensed in New York (032208) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194493189
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameYANIQUE SHANTEL CAMPBELL
Location Address4108 AVENUE UBrooklyn, NY 11234-5120
Mailing Address4108 Avenue UBrooklyn, NY 11234-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2021
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1194493189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 032208 Licensed in CA · 60771
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.

4108 AVENUE U, Brooklyn, NY 11234

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

Yanique Shantel Campbell 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 ID2163819509
PECOS Enrollment IDI20250428000503
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 2

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

Physician Assistant
4108 AVENUE U
BROOKLYN, NY 11234
Emergency Medicine (Emergency Medical Services)
4108 AVENUE U
BROOKLYN, NY 11234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194493189, enumerated as an "individual" on September 02, 2021.

The provider is located at 4108 AVENUE U BROOKLYN, NY 11234 and the phone number is (832) 485-4003.

Physician Assistant with taxonomy code 363A00000X.