Active NPI
Camila Yepes, PA-C
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112898
- Practice address
- 7605 Conroy Windermere Rd
Orlando, FL 32835-2646 - Phone
- (321) 244-6799
- Fax
- (401) 613-5915
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112898 | FL | Primary |
Addresses
Primary practice location
7605 Conroy Windermere Rd
Orlando, FL 32835-2646
Mailing address
2845 Pga Blvd
Palm Beach Gardens, FL 33410-2910
Phone (561) 693-0540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OU530 | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14840 Tamiami TRL
North Port, FL 34287-2701
Phone (941) 564-1542
7605 Conroy Windermere Rd
Orlando, FL 32835-2646
Phone (321) 244-6799
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Water'S Edge Dermatology, LLC | Current | Accepting new patients | |
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients |
Locations
22411 US Highway 27
Lake Wales, FL 33859
Phone (863) 225-7295
6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100
3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542
301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039
7605 Conroy Windermere Rd
Orlando, FL 32835
Phone (321) 244-6799
2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
3107 13th St
Saint Cloud, FL 34769
Phone (321) 244-6755
4002 Sun City Center Blvd
Unit 102
Sun City Ctr, FL 33573
Phone (813) 634-1455
38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- cyepes@aquadermatology.emadirect.md
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 and National Provider Directory roles.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1134148992
-
- Specialist
- Orlando, FL
- NPI 1639396765
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1093331985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 PGA BLVD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102910",
"telephone_number": "561-693-0540",
"fax_number": "561-296-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7605 CONROY WINDERMERE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328352646",
"telephone_number": "321-244-6799",
"fax_number": "401-613-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEPES",
"first_name": "CAMILA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "OU530",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.