Lucy Camacho, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1459 Issued in ID

Practice address

207 1St St S
Nampa, ID 83651-3703

Phone

(208) 466-7869

Fax

(208) 466-5359

NPI assigned

Mar 26, 2015

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 ID

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

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lcamacho337679@direct.ochin.org
• Direct secure messaging: lcamacho2116998@direct.trinity-health.org

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.

• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1457309122

  ID

  Medicare reassignment Care Compare group
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boise, ID
  • NPI 1346254026
  NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marsing, ID
  • NPI 1861406571

  Physician Assistant

  NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Meridian, ID
  • NPI 1215941083

  Physician Assistant

  NPD (past)
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1689688459
  NPD (past)

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

• St Lukes West LTD

  • General Acute Care Hospital
  • Nampa, ID
  • NPI 1831590660

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508250754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1ST ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513703",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513703",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LUCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Byron Sadiki, LCSW
• Nancy N Byron, LPC
• Christopher Alexander Cahan, FNP-C
• Susan Elane Cahoon, PTA
• Cristina Calvillo
• John Cammack, RPH
• Jason A Campagnone
• Campanionship Home Care
• Corey K Campbell
• Daniel Campbell, DO

• All providers in Nampa, ID
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.