Camille Mae Carl, FNP
Individual provider Active NPI Family Nurse Practitioner · Charlestown, IN
NPI 1730788720 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1730788720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3014663 (KY)
- Practice address
- 6441 Anna Louise Dr
Charlestown, IN 47111-8797 - Phone
- (502) 544-3079
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Urgent Care Professionals PLLC
Practice addresses (Care Compare)
3019 N National Rd
Columbus, IN 47203
Phone (708) 922-0911
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 54.2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210122002101 | KY | Practitioner - Nurse Practitioner | 3072927649 | Reassigns benefits to 5 organizations |
| I20211101001132 | IN | Practitioner - Nurse Practitioner | 3072927649 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Illinois Urgent Care Professionals PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Brock Medical, LLC | Current |
Accepting new patients | |
| Pic Indiana PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current |
Accepting new patients |
| Fast Pace Kentucky, PLLC | Current |
Accepting new patients | |
| Baptist Health Medical Group, Inc. | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current |
Accepting new patients | |
| Physicians Immediate Care LTD | Past | Accepting new patients |
Locations
7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101
3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617
313 Federal Dr NW
Ste 20
Corydon, IN 47112
Phone (812) 734-3920
900 Johnson St
#A
Elkhart, IN 46514
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
5130 Charlestown Rd
Ste 2
New Albany, IN 47150
Phone (812) 949-1577
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186
2530 Sir Barton Way
Ste 250
Lexington, KY 40509
Phone (859) 639-0030
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100
145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430
115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014663 | KY | Yes |
Addresses
Primary practice location
6441 Anna Louise Dr
Charlestown, IN 47111-8797
Mailing address
6441 Anna Louise Dr
Charlestown, IN 47111-8797
Phone (502) 544-3079
Other providers in Charlestown, IN
- Michael W Brumit
- Della D. Buege
- Elizabeth Ann Burbridge
- Zachariah James Burkhardt
- Capital Senior Living Properties 4, Inc.
- Christin Carter
- Tavance Cary
- Laramie Cecil
- Charlestown Primary Care LLC
- Charlestown Surgical Associates, PSC
All providers in Charlestown, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.