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MICHELLE LEMOYNE CAMPOS PA-C
NPI 1740538891
Physician Assistant in Santa Rosa, CA

Active since August 21, 2012PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY SUITE 120 MOB1, SANTA ROSA, CA 95403(916) 812-3104(707) 573-5421 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2022, May 2, 2022, Jan 12, 2021 and 1 more (4 updates tracked since 2020).

About Michelle Lemoyne Campos Pa-c NPPES

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

MICHELLE LEMOYNE CAMPOS PA-C (NPI 1740538891) is an individual physician assistant in Santa Rosa, California, licensed in (PA 22420) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1740538891
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE LEMOYNE CAMPOSCredential: PA-C
Location Address401 BICENTENNIAL WAY SUITE 120 MOB1Santa Rosa, CA 95403-2149
Mailing Address401 Bicentennial Way Suite 120 Mob1Santa Rosa, CA 95403-2149 · (916) 812-3104 · Fax (707) 573-5421
Phone(916) 812-3104
Fax(707) 573-5421
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 21, 2012
Last NPPES UpdateMay 27, 20224 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1740538891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · PA 22420
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.
401 BICENTENNIAL WAY SUITE 120 MOB1, Santa Rosa, CA 95403
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Other Names 1

Former Name (1)Michelle Lemoyne Bauer Pa-c

Other Identifiers 1

MedicaidGR0095420CA

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

Michelle Lemoyne Campos 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 ID345485918
PECOS Enrollment IDI20130402000362
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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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 Michelle Campos's NPI number?

The NPI number for Michelle Campos is 1740538891. It was assigned to this individual provider in the NPPES registry on August 21, 2012. The provider is also known as Michelle Lemoyne Bauer Pa-C.

Where is Michelle Campos located?

Michelle Campos practices at 401 Bicentennial Way Suite 120 Mob1, Santa Rosa, CA 95403. The listed phone number is (916) 812-3104.

What is Michelle Campos's specialty?

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

Is Michelle Campos enrolled in Medicare?

Yes. Michelle Campos 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 Michelle Campos was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.