Individual provider Active NPI

Camile Lee, NP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1366181067
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10656 Issued in CT
Practice address
292 Long Ridge Rd Ste 206
Stamford, CT 06902-1627
Phone
(203) 276-7213
Fax
(203) 276-4975
NPI assigned
Jun 1, 2022
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 165274 CT
Family Nurse Practitioner 363LF0000X 10656 CT Primary

Addresses

Primary practice location

292 Long Ridge Rd Ste 206
Stamford, CT 06902-1627

Mailing address

292 Long Ridge Rd Ste 206
Stamford, CT 06902-1627
Phone (203) 276-7213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220915000576 CT Practitioner - Nurse Practitioner 5890170617 Reassigns benefits to 2 organizations
I20260528004197 NY Practitioner - Nurse Practitioner 5890170617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quotidian Health LLCGroup PAC ID 6901105451, 16 clinicians
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

139 Toddy Hill Rd
Sandy Hook, CT 06482-1362
Phone (607) 303-9318

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

292 Long Ridge Rd
Suite 206
Stamford, CT 06902-1627
Phone (203) 276-7213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10656CTMDDentist
165274CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Jan 8, 2024 Accepting new patients
Rejuvi Wellhealth LLC Family Current Accepting new patients
Stamford Hospital Past Accepting new patients

Locations

36 Grove St
Ste 2
New Canaan, CT 06840
Phone (203) 966-6305

1 Omega Dr
Ste 3
Stamford, CT 06907
Phone (203) 276-7447

260 Long Ridge Rd
Ste 3300
Stamford, CT 06902
Phone (203) 276-7213

292 Long Ridge Rd
Stamford, CT 06902
Phone (203) 276-5509

292 Long Ridge Rd
#206
Stamford, CT 06902
Phone (203) 276-7213

292 Long Ridge Rd
Ste 206
Stamford, CT 06902
Phone (203) 276-4378

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

Interoperability endpoints

  • Direct secure messaging: camile.lee@543083656314884.direct.elationemr.com
  • Direct secure messaging: clee30794@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

Hospital & facility affiliations 1

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1366181067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD STE 206",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-276-7213",
            "fax_number": "203-276-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD STE 206",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-276-7213",
            "fax_number": "203-276-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAMILE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "165274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.