TESSA JANE KENNEDY CAMPBELL MD
NPI 1730612144
Plastic Surgery in Boston, MA
About Tessa Jane Kennedy Campbell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TESSA JANE KENNEDY CAMPBELL MD (NPI 1730612144) is an individual plastic surgery provider in Boston, Massachusetts, licensed in Massachusetts (1014445) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of Georgetown University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tessa Jane Kennedy Campbell Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Tessa Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ns/Lij Hs Huntington Hospital
Acute Care Hospitals · Huntington, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Tessa Campbell's NPI number?
The NPI number for Tessa Campbell is 1730612144. It was assigned to this individual provider in the NPPES registry on April 4, 2017.
Where is Tessa Campbell located?
Tessa Campbell practices at 330 Brookline Ave # Scg03, Boston, MA 02215. The listed phone number is (617) 632-7827.
What is Tessa Campbell's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Tessa Campbell enrolled in Medicare?
Yes. Tessa 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.
Which organization bills Medicare for Tessa Campbell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tessa Campbell reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tessa Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tessa Campbell affiliated with any hospitals?
According to CMS data, Tessa Campbell is affiliated with Ns/Lij Hs Huntington Hospital.
When was this NPI record last updated?
The NPPES record for Tessa Campbell was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tessa Jane Kennedy Campbell, MD · NPI 1730612144
Plastic Surgery physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 4, 2017.
## Identity
- **NPI:** 1730612144 (Entity type: Individual)
- **Enumerated:** April 4, 2017
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 1014445 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 BROOKLINE AVE # SCG03, Boston, MA 02215-5491
- **Phone:** (617) 632-7827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** April 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730612144) · Data from the CMS NPPES public registry.