Camille Defeche Mackler, FNP-C, DNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5016240 Issued in NC

Practice address

300 W Tryon St
Hillsborough, NC 27278-2438

Phone

(919) 245-2400

NPI assigned

May 23, 2022

Sex

Female

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 NC, DC2 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

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Orange County

  • State or Local Public Health Clinic/Center
  • Hillsborough, NC
  • NPI 1760576722
  Medicare reassignment NPD
• Children'S Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment
• Orange County Government

  • Community Health Clinic/Center
  • Hillsborough, NC
  • NPI 1689753931
  NPD

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1427796218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 YANCEY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013150",
            "telephone_number": "301-332-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438",
            "telephone_number": "919-245-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLER",
        "first_name": "CAMILLE",
        "middle_name": "DEFECHE",
        "name_prefix": "Dr.",
        "credential": "FNP-C, DNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-12-06",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Sokeen Loke, M.S.
• Jacob Long, MED, LPCA, NCC
• Sarah Elizabeth Lowen
• Luke Smith MD
• John Sloan Lytle, RN
• Alice Bartram Maddux, PA-C
• Ellion Pap Mangel, DSW, LCSW
• Katrina Marie Marler
• Fran Marshall, LCSW
• Meghan Elisabeth Martin

• Family Nurse Practitioner in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.