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Active NPI 1215400148 Individual Practitioner Female Practitioner

Karissa Kelley Vancamp

Licensed Practical Nurse • Phelps, NY

Professional Overview & Biography Verified Profile Summary

Karissa Vancamp is a registered healthcare professional specializing in Licensed Practical Nurse in Phelps, NY. Practice services are available at 778 FISHER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

778 Fisher Rd

Phelps, NY 145329522

Telephone 3157191644

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Phelps, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Phelps, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-02
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 321976-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
321976-1 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated March 02, 2020

Recorded as KARISSA VANCAMP

✅
NPI Profile Active January 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2019

Registered at 778 FISHER RD, PHELPS, NY 145329522 (Tel: 3157191644)

📍
Updated Business Mailing Address January 03, 2019

Registered at 778 FISHER RD, PHELPS, NY 145329522 (Tel: 3157191644)

👤
Provider Name / Credentials Updated January 03, 2019

Recorded as KARISSA VANCAMP-SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Licensed Practical Nurse (License #321976-1 in NY)

🟢
Initial NPI Registration & Enumeration January 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215400148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2019
Last Update: March 02, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

778 Fisher Rd

Phelps, NY 145329522

Phone: 3157191644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.