Watson Camilus

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11020841 Issued in FL

Practice address

3051 Sandpiper Bay Cir Apt I205
Naples, FL 34112-5650

Phone

(239) 692-4420

NPI assigned

Jun 26, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.02 of 100Reported as group

Quality

80

Improvement activities

40

Cost

30.96

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

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.

• Genics Behavioral Health Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bonita Springs, FL
  • NPI 1093560583
  Medicare reassignment NPD Authorized official
• National Psychiatry, LLC

  • Psychiatry Physician
  • Naples, FL
  • NPI 1225766793
  Medicare reassignment NPD
• Prestige Outpatient Providers, LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1124599824
  Medicare reassignment NPD

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1750013157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 SANDPIPER BAY CIR APT I205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125650",
            "telephone_number": "239-692-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 SANDPIPER BAY CIR APT I205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125650",
            "telephone_number": "239-692-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILUS",
        "first_name": "WATSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11020841",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9430192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camari, Corp.
• Daniel Camejo, DMD
• Andrea Cameron, D.D.S.
• Candice Cameron, CST, CSFA
• Juliet Anne Cameron, PT
• Jorge Luis Camina Jr., M.D.
• Tamara Ocasio Camina, MD
• Paul P Cammuso, RPH
• Abbey Elaine Camp
• Erika Campbell, DMD

• Psychiatric/Mental Health Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.