Individual provider Active NPI

Camille Gill, CNP

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1710859814
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234660 Issued in AR
Practice address
3304 Commonwealth Dr
Bryant, AR 72022-7033
Phone
(501) 205-7020
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 234660 AR Primary

Addresses

Primary practice location

3304 Commonwealth Dr
Bryant, AR 72022-7033

Mailing address

640 Riverfront Dr Apt B145
North Little Rock, AR 72114-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20251209001538 AR Practitioner - Nurse Practitioner 9537653431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3304 Commonwealth Dr
Bryant, AR 72022-7033
Phone (501) 205-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
234660ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Nov 25, 2025 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Nov 25, 2025 Accepting new patients

Locations

824 Military Rd
Benton, AR 72015
Phone (501) 574-3019

3304 Commonwealth Dr
Bryant, AR 72022
Phone (501) 205-7020

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

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.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1710859814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 RIVERFRONT DR APT B145",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 COMMONWEALTH DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227033",
            "telephone_number": "501-205-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "CAMILLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "234660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.