TERESA R CAMPBELL (PA-C) – Physician Assistant, NPI 1164574646
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TERESA R CAMPBELL (PA-C)
Modesto Post Office, 715, Kearney Avenue, Modesto, Stanislaus County, California, 95350, United States
MODESTO, CA 953524978
Phone: (209) 575-4575
Fax: (209) 575-4598
Type: Mailing
Emanuel Medical Center, 825, Delbon Avenue, Turlock, Stanislaus County, California, 95382, United States
TURLOCK, CA 953822016
Phone: (209) 664-2790
Fax: (209) 664-2797
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110914000117 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 28 | 27 | $0 |
Insurance plans in this area (ZIP 95352)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 70 | 70 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | MI | |
| Physician Assistant | CA | |
| - | FL | |
| - | CA | |
| - | CA | |
| - | AZ | |
| - | CA | |
| Emergency Medicine | OK |
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