Individual provider Active NPI

Meredith Camilleri

  • Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1609477587
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024180475 Issued in VA
Practice address
617 Jackson St
Lynchburg, VA 24504-2816
Phone
(209) 613-6815
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024180475 VA Primary

Addresses

Primary practice location

617 Jackson St
Lynchburg, VA 24504-2816

Mailing address

617 Jackson St
Lynchburg, VA 24504-2816
Phone (209) 613-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IA2 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
I20210319000369 VA Practitioner - Nurse Practitioner 0648686709 Reassigns benefits to 2 organizations
I20250925002870 IA Practitioner - Nurse Practitioner 0648686709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recover Together IncGroup PAC ID 7810247533, shared by 2 NPIs, 141 clinicians

Practice addresses (Care Compare)

21 Walnut Blvd
Suite 1
Petersburg, VA 23805-2101
Phone (800) 683-8313

3070 104TH St
Suite 100
Urbandale, IA 50322-3829
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Recover Together, LLC Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients

Locations

3070 104th St
#100
Urbandale, IA 50322

3070 104th St
Unit 100
Urbandale, IA 50322

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6212 Jefferson Ave
Newport News, VA 23605

21 Walnut Blvd
Ste 1
Petersburg, VA 23805

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

2601 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 342-0211

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, 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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1609477587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 JACKSON ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042816",
            "telephone_number": "209-613-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 JACKSON ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042816",
            "telephone_number": "209-613-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLERI",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.