Camile A Shamblin, MSN FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11011427 Issued in FL

Practice address

2687 Jenks Ave
Panama City, FL 32405-4351

Phone

(850) 215-7920

Fax

(850) 848-9295

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Camile A Hays Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emerald Coast Rheumatology LLCGroup PAC ID 7810165206, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
• Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camile.shamblin@222752288407556.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/3219/brand/1/csg/1/fhir/r4
• Direct secure messaging: camile.shamblin.1@3219.direct.athenahealth.com

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.

• Emerald Coast Rheumatology LLC

  • Rheumatology Physician
  • Lynn Haven, FL
  • NPI 1427346469
  Medicare reassignment Care Compare group NPD
• Asthma and Allergy Clinic, P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1093812612
  NPD

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

• Ascension Sacred Heart Gulf

  • Rural Acute Care Hospital
  • Port St Joe, FL
  • NPI 1083941678
  Care Compare affiliation
• Bay County Health System, LLC

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Bay Hospital, Inc

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1639760457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054351",
            "telephone_number": "850-215-7920",
            "fax_number": "850-848-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054351",
            "telephone_number": "850-215-7920",
            "fax_number": "850-848-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Mary Jo Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324094163",
            "country_code": "US",
            "telephone_number": "417-294-9502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "CAMILE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011427",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11011427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "11011427",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE CROSS BLUE SHIELD",
            "identifier": "LGBN5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILE",
            "last_name": "HAYS",
            "middle_name": "A",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Dale Shaffer Sr., NBC-HIS
• Rahman Shah, MD
• Mai Talal Shaito, AUD.
• Maged Shalaby
• Marlee Alayna Shaling, BSN RN
• Damon Lee Shamblin, DPT
• Shannon Wood Williams LMFT, Inc
• Charles W Shapard, M.D.
• Sara Redmond Sharkey, LMT
• Thomas W Sharkey, LMT

• Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Nurse Practitioner in Florida

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