Individual provider Active NPI

Lyn Allen Campbell, MD

  • Emergency Medicine Physician
  • Christiansted, VI
National Provider Identifier
1619930930
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1144 Issued in VI
Practice address
4000 Ruby Plaza Suite 3
Christiansted, VI 00820-4414
Phone
(340) 277-3524
NPI assigned
Apr 8, 2006
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1144 VI Primary

Addresses

Primary practice location

4000 Ruby Plaza Suite 3
Christiansted, VI 00820-4414

Mailing address

184C Estate Diamond Ruby
Christiansted, VI 00820-4424
Phone (240) 432-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060301000386 VI Practitioner - Emergency MedicinePractitioner - General Practice 3779538657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
Howard University College of Medicine, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Acute Alternative Medical GroupGroup PAC ID 0345317772, 2 clinicians

Practice addresses (Care Compare)

4000 Ruby PLZ
Suite 3
Christiansted, VI 00820-5325
Phone (340) 772-2883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Alternative Sleep Center LLC CurrentSince Aug 3, 2006 Accepting new patients
Howard University Emergency Medicine Past Accepting new patients
Steven Remsen, MD PA Emergency Medicine Past Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine Past Accepting new patients
National Emergency Services District of Columbia Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1619930930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184C ESTATE DIAMOND RUBY",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204424",
            "telephone_number": "240-432-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RUBY PLAZA SUITE 3",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204414",
            "telephone_number": "340-277-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LYN",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VI",
            "license": "1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.