Individual provider Active NPI

Mailen Camacho, ARNP,FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1609397231
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9240193 Issued in FL
Practice address
7831 W 36TH Ave Unit 202
Hialeah, FL 33018-7525
Phone
(786) 444-8856
Fax
(786) 444-8856
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9240193 FL Primary
Family Nurse Practitioner 363LF0000X 9240193 FL

Addresses

Primary practice location

7831 W 36TH Ave Unit 202
Hialeah, FL 33018-7525

Mailing address

7831 W 36TH Ave Unit 202
Hialeah, FL 33018-7525
Phone (786) 444-8856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240522000612 FL Practitioner - Nurse Practitioner 5496825721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Serenity Community Mental Health Center LLCGroup PAC ID 4587946793, 14 clinicians

Practice addresses (Care Compare)

3621 SW 107TH Ave
Miami, FL 33165-3636
Phone (786) 534-8366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9240193FLMDFamily Nurse Practitioner
APRN9240193FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Community Mental Health Center, LLC CurrentSince Mar 31, 2024 Accepting new patients
Serenity Community Mental Health Center LLC CurrentSince Mar 31, 2024 Accepting new patients
Serenity Community Mental Health Center LLC Current Accepting new patients

Locations

3621 SW 107th Ave
Miami, FL 33165
Phone (305) 221-6862

12542 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 391-9478

110 Century Blvd
Ste 200
West Palm Beach, FL 33417
Phone (561) 282-2960

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1609397231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 W 36TH AVE UNIT 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330187525",
            "telephone_number": "786-444-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 W 36TH AVE UNIT 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330187525",
            "telephone_number": "786-444-8856",
            "fax_number": "786-444-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "MAILEN",
        "name_prefix": "Ms.",
        "credential": "ARNP,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9240193",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9240193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.