Individual provider Active NPI

Cameron Rachelle Munafo, CNP

  • Family Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1275119174
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028303 Issued in OH
Practice address
5390 Dixie Hwy
Fairfield, OH 45014-4124
Phone
(513) 868-2345
NPI assigned
Mar 22, 2021
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 APRN.CNP.0028303 OH Primary

Addresses

Primary practice location

5390 Dixie Hwy
Fairfield, OH 45014-4124

Mailing address

3170 Kettering Blvd
BLDG B
Moraine, OH 45439-1924
Phone (937) 991-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210324003321 OH Practitioner - Nurse Practitioner 6901213602 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illumia Health LLCGroup PAC ID 7810424306, 33 clinicians

Practice addresses (Care Compare)

Dayton, OH 45459
Phone (937) 910-4004

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028303OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe, Inc CurrentSince Jul 5, 2022 Accepting new patients
Carelon Medical Partners, PC CurrentSince Mar 9, 2026 Accepting new patients
Mvhe Inc CurrentSince Jul 5, 2022 Accepting new patients
Mvhe Inc Current Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
CG Medical Associates Inc CurrentSince Mar 22, 2021 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

3075 Vandercar Way
Cincinnati, OH 45209
Phone (844) 326-3119

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

5390 Dixie Hwy
Fairfield, OH 45014
Phone (513) 218-2848

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3590 Busenbark Rd
Ste 400
Trenton, OH 45067
Phone (513) 988-6369

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1275119174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144124",
            "telephone_number": "513-868-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAFO",
        "first_name": "CAMERON",
        "middle_name": "RACHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.