Active NPI
Julie Ann Campagna, PA-C
- Physician Assistant
- Jamaica, NY
National Provider Identifier
1881315281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 028813
- Practice address
- 82-68 164TH Street
Jamaica, NY 11432 - Phone
- (718) 883-3000
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 028813 | NY | Primary |
Addresses
Primary practice location
82-68 164TH Street
Jamaica, NY 11432
Mailing address
82-68 164TH Street
Jamaica, NY 11432
Phone (718) 883-3000
Other practice location 1
170 Huber Ave
Holbrook, NY 11741-3217
Phone (631) 636-3752
Other names 1
- Ms. Julie Ann Mystkowski
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221021000881 | NY | Order and Referring Only - Physician Assistant | 7719353432 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028813 | NY | MD | Physical Therapist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jmystkowski2281444@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1881315281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82-68 164TH STREET",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-883-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82-68 164TH STREET",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-883-3000"
}
],
"practiceLocations": [
{
"address_1": "170 Huber Ave",
"address_purpose": "LOCATION",
"city": "Holbrook",
"state": "NY",
"postal_code": "117413217",
"country_code": "US",
"telephone_number": "631-636-3752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPAGNA",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "028813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MYSTKOWSKI",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.