Individual provider Active NPI

Nicholas Camejo, A.R.N.P

  • Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1780044057
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9319617 Issued in FL
Practice address
6200 SW 72ND St
South Miami, FL 33143-4828
Phone
(305) 271-9777
NPI assigned
Mar 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9319617 FL Primary

Addresses

Primary practice location

6200 SW 72ND St
South Miami, FL 33143-4828

Mailing address

PO Box 198054
Atlanta, GA 30384-8054

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181218001740 FL Practitioner - Nurse Practitioner 2062757156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928

6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600

6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000

9555 SW 162ND Ave
West Kendall Baptist Hosp
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9319617FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Oct 7, 2024 Accepting new patients
Criticare Clinics Inc CurrentSince Aug 1, 2021 Accepting new patients
South Miami Criticare Inc. Nurse Practitioner CurrentSince Jun 30, 2018 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5000 University Dr
Ste 1200
Coral Gables, FL 33146

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

975 Baptist Way
Ste 201
Homestead, FL 33033
Phone (305) 247-4555

8950 SW 88th St
Ste 601W
Miami, FL 33176

15955 SW 96th St
Ste 102
Miami, FL 33196
Phone (786) 467-3140

8400 NW 53rd St
Ste F104
Miami, FL 33166
Phone (786) 595-9900

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

6200 Sunset Dr
South Miami, FL 33143
Phone (305) 668-1660

6200 Sunset Dr
Ste 502
South Miami, FL 33143
Phone (305) 430-6969

Organizations & group practices 3

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 1

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1780044057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 72ND ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-271-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEJO",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "A.R.N.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9319617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.