Camille Thompson Wise, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN078196 AP04243 Issued in LA

Practice address

104 Morris Cir
Homer, LA 71040-2100

Phone

(318) 927-1110

Fax

(318) 927-1116

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114
• Minden Medical Center Hospital, Minden, LA, CCN 190144

Merit-based Incentive Payment System (MIPS)

Final score

94.86 of 100Reported as group

Quality

91.31

Promoting interoperability

95

Improvement activities

40

Cost

79.05

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGJDCD/Endpoint/EGJDCD

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.

• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • Emergency Medicine Physician
  • Homer, LA
  • NPI 1609066646
  Medicare reassignment Care Compare group NPD
• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer, LA
  • NPI 1306441175
  NPD
• Butler-Abshire Medical Clinic, Apmc

  • Primary Care Clinic/Center
  • Haynesville, LA
  • NPI 1609929785
  NPD (past)

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

• CLHG - Minden, LLC

  dba Minden Medical Center

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation
• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • General Acute Care Hospital
  • Homer, LA
  • NPI 1831183748
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1013949213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202",
            "telephone_number": "318-927-2024",
            "fax_number": "318-927-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MORRIS CIR",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402100",
            "telephone_number": "318-927-1110",
            "fax_number": "318-927-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "CAMILLE",
        "middle_name": "THOMPSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN078196 AP04243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721123",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Webster Anesthesiology Associates, LLC
• Erin White, RN
• Toshia Williams, RN
• Barbara Fay Willis, MD
• Laxavia Willis
• Gregory Alan Woodall, O.D.

• Nurse Practitioner in Homer, LA
• Providers in Homer, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.