KERRY SHANLEY CAMP PA
NPI 1679818686
Physician Assistant in Boston, MA

Active since December 02, 2012PECOS EnrolledAccepts Medicare Assignment
243 CHARLES ST, FACIAL PLASTIC & RECONSTRUCTIVE SURGERY CENTER MEEI, BOSTON, MA 02114(617) 573-4419 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerry Shanley Camp Pa NPPES

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

KERRY SHANLEY CAMP PA (NPI 1679818686) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and is a graduate of Yale University School Of Medicine (2012).

NPPES Registry Identity

NPI1679818686
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKERRY SHANLEY CAMPCredential: PA
Location Address243 CHARLES ST, FACIAL PLASTIC & RECONSTRUCTIVE SURGERY CENTER MEEIBoston, MA 02114-3002
Mailing Address243 Charles St, Facial Plastic & Reconstructive Surgery Center MeeiBoston, MA 02114-3002 · (617) 573-4419
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2012
Enumeration DateDecember 2, 2012
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1679818686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

243 CHARLES ST, Boston, MA 02114

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

Kerry Shanley Camp Pa 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 ID6901022532
PECOS Enrollment IDI20140717000183
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
63 services26 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Anesthesiology
243 CHARLES ST
BOSTON, MA 02114

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 Kerry Camp's NPI number?

The NPI number for Kerry Camp is 1679818686. It was assigned to this individual provider in the NPPES registry on December 2, 2012.

Where is Kerry Camp located?

Kerry Camp practices at 243 Charles St Facial Plastic & Reconstructive Surgery Center Meei, Boston, MA 02114. The listed phone number is (617) 573-4419.

What is Kerry Camp's specialty?

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

Is Kerry Camp enrolled in Medicare?

Yes. Kerry Camp 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.

Is Kerry Camp affiliated with any hospitals?

According to CMS data, Kerry Camp is affiliated with Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Kerry Camp was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.