MRS. KYLIE ELIZABETH CAMPBELL PA-C
NPI 1558514281
Physician Assistant - Medical in El Dorado Hills, CA

NPI Status: Active since October 26, 2008

Contact Information

4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 983-5771
Fax: (916) 939-1800

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Opted-Out Medicare

About KYLIE CAMPBELL

This page provides the complete NPI Profile along with additional information for Kylie Campbell, a primary care provider established in El Dorado Hills, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1558514281 assigned on October 2008. The practitioner's primary taxonomy code is 363AM0700X with license number 19985 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1558514281
Provider Name
MRS. KYLIE ELIZABETH CAMPBELL PA-C
Other Name
MS. KYLIE ELIZABETH NUCKOLS PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4921 GOLDEN FOOTHILL PKWY EL DORADO HILLS, CA 95762
Location Phone
(916) 983-5771
Location Fax
(916) 939-1800
Mailing Address
PO BOX 5156 EL DORADO HILLS, CA 95762
Mailing Phone
(530) 400-9674
Mailing Fax
(916) 939-1800
Is Sole Proprietor?
Yes
Enumeration Date
10-26-2008
Last Update Date
05-21-2020
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A primary care provider (PCP) like Kylie Campbell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kylie Campbell opted out of Medicare effective on 07-01-2020 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 1831 Orange Avenue Suite C
    Costa Mesa, CA 92627
    (949) 574-5800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
19985
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
952979638OTHER (01)CAFEDERAL ID NUMBER

Medicare Participation & PECOS Enrollment Status

Kylie Campbell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-01-2020

  • Opt-Out End Date: 07-01-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MRS. KYLIE ELIZABETH CAMPBELL PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558514281
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251081018216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 0 + 1 + 8 + 2 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1558514281 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447633383FOLSOM CARDIOLOGY INC
Organization
Internal Medicine (Cardiovascular Disease)4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
(916) 597-2687
1619185584 AJAY KUMAR JOSHI M.D., MRCP, FACC
Individual
Internal Medicine (Interventional Cardiology)4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
(916) 597-2687
1942043930 LAUREN LEE
Individual
Physician Assistant4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
(916) 597-2687

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558514281, enumerated in the NPI registry as an "individual" on October 26, 2008

The provider is located at 4921 Golden Foothill Pkwy El Dorado Hills, Ca 95762 and the phone number is (916) 983-5771

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

No, the provider signed an affidavit on July 01, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.

This NPI record was last updated on October 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.