Individual provider Active NPI

Halie Kaitlyn Kemmling-Campbell, PA-C

  • Physician Assistant
  • Canandaigua, NY
National Provider Identifier
1447856471
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
699 S Main St
Canandaigua, NY 14424-2208
Phone
(585) 978-8240
NPI assigned
Dec 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

699 S Main St
Canandaigua, NY 14424-2208

Mailing address

699 S Main St
Canandaigua, NY 14424-2208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001960 NY Practitioner - Physician Assistant 1456759414 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Frederick Ferris Thompson HospitalGroup PAC ID 3274428586, 227 clinicians
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

699 S Main St
Suite 5
Canandaigua, NY 14424-2208
Phone (585) 396-6050

800 W Miller St
Suite 11
Newark, NY 14513-1354
Phone (315) 226-8900

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
85.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 24, 2024 Accepting new patients
Auburn Community Hospital CurrentSince Sep 24, 2024 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Auburn Community Hospital CurrentSince Sep 24, 2024 Accepting new patients
FLH Medical, PC CurrentSince Mar 1, 2023 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 5, 2022 Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

73 Buffalo St
Ste 100
Canandaigua, NY 14424

699 S Main St
Canandaigua, NY 14424
Phone (585) 396-6050

1614 State Route 332
Farmington, NY 14425
Phone (585) 289-3211

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • Direct secure messaging: haliekc@hiemail.healtheconnections.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1447856471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242208",
            "telephone_number": "585-978-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMLING-CAMPBELL",
        "first_name": "HALIE",
        "middle_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.