Luis Felipe Camacho

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

82969 Issued in KS

Practice address

305 W 15TH St Ste 102
Liberal, KS 67901-2455

Phone

(620) 417-7578

Fax

(680) 417-7577

NPI assigned

Feb 8, 2021

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Watch Health Care of Liberal, LLC Home health agency, Liberal, KS, CCN 178061
• Elara Caring Home health agency, Garden City, KS, CCN 178123
• Southwest Medical Center Hospital, Liberal, KS, CCN 170068

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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.

• Southwest Medical Center

  dba Southwest Professional Physicians

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment Care Compare group NPD
• Southwest Medical Center

  dba SWMC Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Liberal, KS
  • NPI 1285503078
  NPD
• Southwest Medical Center

  dba Southwest Internal Medicine

  • Internal Medicine Physician
  • Liberal, KS
  • NPI 1053351668
  NPD (past)

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

• Caregivers of Garden City, LLC

  dba Elara Caring

  • Home Health Agency
  • Garden City, KS
  • NPI 1962999839
  Care Compare affiliation
• Health Watch Health Care of Liberal, LLC

  • Home Health Agency
  • Liberal, KS
  • NPI 1629456223
  Care Compare affiliation
• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1104418458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 15TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012455",
            "telephone_number": "620-624-1651",
            "fax_number": "620-629-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 15TH ST STE 102",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012455",
            "telephone_number": "620-417-7578",
            "fax_number": "680-417-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LUIS",
        "middle_name": "FELIPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "82969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bishal Bista, PA-C
• Lauren Taylor Boyce, PA-C
• Cara A Boyd, LSCSW
• Dustin Elizabeth Burke, COTA/L
• Carmelita D Caedo, MD
• Cancer Center of Kansas, P.a.
• Carmelita Caedo MD Radiology PA (Southwest Kansas Radiology)
• Theresa Carrillo
• Linsey Kay Carter, ARNP/FNP
• Central Care, PA (Central Care Cancer Center)

• Family Nurse Practitioner in Liberal, KS
• Providers in Liberal, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.