Individual provider Active NPI

Camille A Muller, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1790230613
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9275704 Issued in FL
Practice address
4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone
(772) 672-8401
Fax
(772) 672-8320
NPI assigned
Aug 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9275704 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9275704 FL Primary

Addresses

Primary practice location

4500 W Midway Rd
Fort Pierce, FL 34981-4823

Mailing address

1401 Hideaway BND
Wellington, FL 33414-7949
Phone (772) 672-8401

Other practice location 1

1401 Hideaway Bnd
Wellington, FL 33414-7949
Phone (561) 383-7402

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
I20181010001201 FL Practitioner - Nurse Practitioner 3971855503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons of the Treasure Coast IncGroup PAC ID 1153313218, 20 clinicians

Practice addresses (Care Compare)

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (561) 468-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9275704FLMDFamily Nurse Practitioner
APRN9275704FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Physician Services LLC CurrentSince Sep 15, 2020 Accepting new patients
Bright Future Wellness and Behavioral Services CurrentSince Mar 27, 2018 Accepting new patients
New Horizons of the Treasure Coast Inc CurrentSince Oct 21, 2019 Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

3601 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 208-3057

2520 SE Federal Hwy
Stuart, FL 34994
Phone (772) 288-0976

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.

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1790230613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HIDEAWAY BND",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147949",
            "telephone_number": "772-672-8401",
            "fax_number": "772-467-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814823",
            "telephone_number": "772-672-8401",
            "fax_number": "772-672-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Hideaway Bnd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334147949",
            "country_code": "US",
            "telephone_number": "561-383-7402",
            "fax_number": "561-383-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLER",
        "first_name": "CAMILLE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9275704",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9275704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.