1. Home
  2. Directory
  3. California
  4. Fontana
  5. Physician Assistant
  6. NPI Profile

NICOLETTE ROSE CAMPBELL PA-C
NPI 1194584300
Physician Assistant in Fontana, CA

Active since March 18, 2024PECOS EnrolledAccepts Medicare Assignment
9395 EMERALD AVE, FONTANA, CA 92335(954) 673-9749 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicolette Rose Campbell Pa-c NPPES

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

NICOLETTE ROSE CAMPBELL PA-C (NPI 1194584300) is an individual physician assistant in Fontana, California, licensed in California (64407) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194584300
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLETTE ROSE CAMPBELLCredential: PA-C
Location Address9395 EMERALD AVEFontana, CA 92335-5819
Mailing Address9395 Emerald AveFontana, CA 92335-5819 · (954) 673-9749
Phone(954) 673-9749
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 18, 2024
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1194584300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 64407
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9395 EMERALD AVE, Fontana, CA 92335
Open in Google Maps ↗

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

Nicolette Rose 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 ID6608318415
PECOS Enrollment IDI20240607003299
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 92335 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Nicolette Campbell's NPI number?

The NPI number for Nicolette Campbell is 1194584300. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Nicolette Campbell located?

Nicolette Campbell practices at 9395 Emerald Ave, Fontana, CA 92335. The listed phone number is (954) 673-9749.

What is Nicolette Campbell's specialty?

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

Is Nicolette Campbell enrolled in Medicare?

Yes. Nicolette 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.

When was this NPI record last updated?

The NPPES record for Nicolette Campbell was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.