Individual provider Active NPI

Rodrigo T Camacho, APRN

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1053466276
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A02909 Issued in AR
Practice address
124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone
(501) 623-7800
Fax
(833) 398-2051
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 A02909 AR Primary

Addresses

Primary practice location

124 Sawtooth Oak St
Hot Springs, AR 71901-7160

Mailing address

124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 623-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110426000652 AR Practitioner - Nurse Practitioner 2769667310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Park Gi Services LLCGroup PAC ID 7618267535, 5 clinicians

Practice addresses (Care Compare)

124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 623-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A02909ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC CurrentSince Jan 15, 2017 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Sep 1, 2021 Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Mar 1, 2011 Accepting new patients
National Park Gi Services LLC CurrentSince Feb 14, 2023 Accepting new patients

Locations

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

124 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 623-7800

100 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 525-9675

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

121 Cordoba Center Dr
Ste 400
Hot Springs Village, AR 71909
Phone (501) 915-0837

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

Interoperability endpoints

  • Direct secure messaging: rodrigo.camacho.2@2554.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1053466276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017160",
            "telephone_number": "501-623-7800",
            "fax_number": "833-398-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017160",
            "telephone_number": "501-623-7800",
            "fax_number": "833-398-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "RODRIGO",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A02909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.