Individual provider Active NPI

Cameron Blake Little, FNP

  • Family Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1700486685
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0040906 Issued in OH
Practice address
1010 Cereal Ave Ste 207
Hamilton, OH 45013-2772
Phone
(513) 867-3331
NPI assigned
Oct 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 5014135 NC
Nurse Practitioner 363L00000X 5014135 NC
Family Nurse Practitioner 363LF0000X APRN.CNP.0040906 OH Primary
Family Nurse Practitioner 363LF0000X 5014135 NC

Addresses

Primary practice location

1010 Cereal Ave Ste 207
Hamilton, OH 45013-2772

Mailing address

1949 Blackwolf Run LN
Raleigh, NC 27604-5405
Phone (252) 299-2658

Other practice location 1

1949 Blackwolf Run Ln
Raleigh, NC 27604-5405
Phone (252) 299-2658

Other identifiers 1

IdentifierTypeStateIssuer
0174271MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 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
I20210330001825 NC Practitioner - Nurse Practitioner 3678980190
I20251222003333 OH Practitioner - Nurse Practitioner 3678980190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2772
Phone (513) 867-3331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5014135NCMDCritical Care Medicine Nurse Practitioner
APRN.CNP.0040906OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Feb 3, 2026 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

1010 Cereal Ave
Ste 207
Hamilton, OH 45013
Phone (513) 867-3331

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Interoperability endpoints

  • Direct secure messaging: clittle110444@direct.unc.nchie.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1700486685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 BLACKWOLF RUN LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045405",
            "telephone_number": "252-299-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE STE 207",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132772",
            "telephone_number": "513-867-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Blackwolf Run Ln",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276045405",
            "country_code": "US",
            "telephone_number": "252-299-2658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "CAMERON",
        "middle_name": "BLAKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "5014135",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014135",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0040906",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.