KATHLEEN SUSAN CAMPBELL PAC
NPI 1518019769
Physician Assistant in Burlington, VT

Q: What is Kathleen Campbell's NPI number?

The NPI number for Kathleen Campbell is 1518019769. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Kathleen Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Campbell was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 January 17, 2007PECOS EnrolledAccepts Medicare Assignment

111 COLCHESTER AVE, 125BA3, BURLINGTON, VT 05401(802) 847-8675(802) 847-2311 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Susan Campbell Pac NPPES

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

KATHLEEN SUSAN CAMPBELL PAC (NPI 1518019769) is an individual physician assistant in Burlington, Vermont, licensed in Vermont (055-0030834) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1518019769

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHLEEN SUSAN CAMPBELLCredential: PAC

Location Address111 COLCHESTER AVE, 125BA3Burlington, VT 05401-1473

Mailing Address192 Tilley DrSouth Burlington, VT 05403-4440 · (802) 847-7063

Phone(802) 847-8675

Fax(802) 847-2311

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 17, 2007

Last NPPES UpdateApril 13, 2010

✔ NPI 1518019769 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 VT · 055-0030834

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 010548-1 (NY)

111 COLCHESTER AVE, Burlington, VT 05401

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Other Identifiers 1

Medicare UPINS62585VT

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

Kathleen Susan Campbell Pac 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 ID1759354772

PECOS Enrollment IDI20040818000133

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier15 claims15 services$57.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)