Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yanique Shantel Campbell

Individual provider Physician Assistant · NPI 1194493189

Yanique Shantel Campbell is a Physician Assistant in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Excel Urgent Care of Wantagh PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
5
Licensed in
CA, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4108 Avenue U
Brooklyn, NY 11234-5120
Phone: (832) 485-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032208 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 60771 (CA)

Record details

NPI number1194493189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2021
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Excel Urgent Care Of Wantagh Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brooklyn