Individual provider Active NPI

Michelle Camastro, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1356727747
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339388 Issued in NY
Practice address
19 Baker Ave Ste 100
Poughkeepsie, NY 12601-1375
Phone
(845) 454-1942
NPI assigned
Aug 7, 2015
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 339388 NY Primary

Addresses

Primary practice location

19 Baker Ave Ste 100
Poughkeepsie, NY 12601-1375

Mailing address

1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839
Phone (845) 579-3435

Other identifiers 1

IdentifierTypeStateIssuer
04643270MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170112000549 NY Practitioner - Nurse Practitioner 6305127093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green NP in Adult Health PLLCGroup PAC ID 4385025295, 7 clinicians
Hudson Valley Cardiovascular Practice PCGroup PAC ID 0244467181, 67 clinicians

Practice addresses (Care Compare)

1 Bushwick Rd
Suite C
Poughkeepsie, NY 12603-3839
Phone (845) 579-3435

1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3924
Phone (845) 473-1188

Merit-based Incentive Payment System (MIPS)

Final score
78.69 of 100Reported as group
Quality
54.12
Promoting interoperability
98
Improvement activities
40
Cost
76.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339388NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Green NP in Adult Health PLLC CurrentSince Jun 18, 2023 Accepting new patients
Hudson Valley Cardiovascular Practice, PC CurrentSince Jan 9, 2017 Accepting new patients
Healthy Minds Counseling Services LCSW PLLC PastSince Jun 18, 2023 Accepting new patients

Locations

1 Bushwick Rd
Ste C
Poughkeepsie, NY 12603
Phone (845) 579-3435

1 Columbia St
Ste 200
Poughkeepsie, NY 12601
Phone (845) 473-1188

1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100

Organizations & group practices 3

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1356727747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE C",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-579-3435",
            "fax_number": "845-243-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE STE 100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011375",
            "telephone_number": "845-454-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMASTRO",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04643270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.