Individual provider Active NPI

Victoria Camilleri, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1043681919
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015348 Issued in PA
Practice address
3330 Peach St Ste 106
Erie, PA 16508-2771
Phone
(814) 877-5570
Fax
(814) 877-5571
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015348 PA Primary

Addresses

Primary practice location

3330 Peach St Ste 106
Erie, PA 16508-2771

Mailing address

3330 Peach St Ste 106
Erie, PA 16508-2771
Phone (814) 877-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20151216000380 PA Practitioner - Nurse Practitioner 4981905940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

510 Cranberry St
Suite 200
Erie, PA 16507-1078
Phone (814) 877-5274

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015348PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jul 25, 2016 Accepting new patients
Erie Physicians Network-Upmc,Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

3535 Pine Ave
Erie, PA 16504
Phone (814) 454-3363

3330 Peach St
Ste 106
Erie, PA 16508
Phone (814) 868-5202

5241 Buffalo Rd
Erie, PA 16510
Phone (814) 877-5100

510 Cranberry St
Ste 200
Erie, PA 16507
Phone (814) 459-3141

3330 Peach St
Ste 106B
Erie, PA 16508
Phone (814) 877-5570

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: victoria.camilleri@upmcdirect.com
  • Direct secure messaging: vcamilleri52380@upmc.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1043681919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PEACH ST STE 106",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082771",
            "telephone_number": "814-877-5570",
            "fax_number": "814-877-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PEACH ST STE 106",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082771",
            "telephone_number": "814-877-5570",
            "fax_number": "814-877-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLERI",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.