KARLEE CAMPBELL VAN DAM PA-S
NPI 1972154185
Physician Assistant in Bentonville, AR

Active since September 28, 2019PECOS EnrolledAccepts Medicare Assignment
28.91/100
CMS Quality Rating
901 SE 22ND ST, BENTONVILLE, AR 72712(479) 273-7006(479) 273-9497 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2023, Feb 13, 2020, Sep 28, 2019 (3 updates tracked since 2019).

About Karlee Campbell Van Dam Pa-s NPPES

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

KARLEE CAMPBELL VAN DAM PA-S (NPI 1972154185) is an individual physician assistant in Bentonville, Arkansas, licensed in Arkansas (PA1099) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972154185
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARLEE CAMPBELL VAN DAMCredential: PA-S
Location Address901 SE 22ND STBentonville, AR 72712-4196
Mailing Address4375 N Vantage Dr Ste 305Fayetteville, AR 72703-4984 · (479) 335-1831 · Fax (479) 249-6958
Fax(479) 273-9497
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 28, 2019
Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1972154185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AR · PA1099 Licensed in OK · 3137
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.
901 SE 22ND ST, Bentonville, AR 72712

Other Names 1

Former Name (1)Karlee Campbell Bradberry

Accepted Insurance

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

Karlee Campbell Van Dam Pa-s 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 ID547698425
PECOS Enrollment IDI20200309001629
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
300 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services129 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
136 services115 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
130 services105 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
117 services93 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.36
Improvement Activities0
Cost33.22

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 Karlee Van Dam's NPI number?

The NPI number for Karlee Van Dam is 1972154185. It was assigned to this individual provider in the NPPES registry on September 28, 2019. The provider is also known as Karlee Campbell Bradberry.

Where is Karlee Van Dam located?

Karlee Van Dam practices at 901 SE 22nd St, Bentonville, AR 72712. The listed phone number is (479) 273-7006.

What is Karlee Van Dam's specialty?

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

Is Karlee Van Dam enrolled in Medicare?

Yes. Karlee Van Dam 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.

What insurance does Karlee Van Dam accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica, Mending Health and Octave and 1 other insurer list Karlee Van Dam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karlee Van Dam was last updated on January 23, 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.