Active NPI
Jenelle Camino, NURSE PRACTITIONER
- Nurse Practitioner
- Plantation, FL
National Provider Identifier
1588417737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11026524
- Practice address
- 1837 N Pine Island Rd
Plantation, FL 33322-5207 - Phone
- (954) 350-0400
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | RN9536383 | FL | |
| Nurse Practitioner | 363L00000X | APRN11026524 | FL | Primary |
Addresses
Primary practice location
1837 N Pine Island Rd
Plantation, FL 33322-5207
Mailing address
15501 NE 15TH PL
North Miami Beach, FL 33162-5645
Phone (914) 843-3757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9536383 | FL | MD | Plastic Surgery Registered Nurse |
| APRN11026524 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plantation Palms Dental P.a. | Past | Accepting new patients |
Organizations & group practices 1
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": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1588417737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15501 NE 15TH PL",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331625645",
"telephone_number": "914-843-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1837 N PINE ISLAND RD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225207",
"telephone_number": "954-350-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMINO",
"first_name": "JENELLE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "FL",
"license": "RN9536383",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11026524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.