KEVIN CAMPBELL (PA-C) – Physician Assistant, NPI 1124484985
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for KEVIN CAMPBELL (PA-C)
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-5000
Type: Location
217 S Madison St
Traverse City, MI 496842321
Phone: (231) 392-8400
Type: Location
1221 Sixth St Ste 300
Traverse City, MI 496842360
Phone: (231) 935-0322
Type: Location
1221 Sixth St Ste 100
Traverse City, MI 496842359
Phone: (231) 392-8400
Type: Location
3537 W Front St
Traverse City, MI 496847941
Phone: (231) 935-5880
Type: Location
1345 E Parkdale Ave
Manistee, MI 496609318
Phone: (231) 398-1750
Type: Location
8872 Professional Dr Ste B
Cadillac, MI 496018482
Phone: (231) 779-0320
Type: Location
130, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States
STE 203
TROY, MI 480841744
Phone:
Type: Mailing
3120, Carpenter Street, Hamtramck, Wayne County, Michigan, 48212, United States
HAMTRAMCK, MI 482129802
Phone: (313) 334-5380
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: 2016-03-17
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 |
|---|---|---|---|---|
| I20160317000774 | I | Physician Assistant | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
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