NPIMap

Individual provider Active NPI

Natalie Camacho

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1891340709
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008635 Issued in CO
Practice address
5770 Flintridge Dr
Colorado Springs, CO 80918-1881
Phone
(719) 445-9902
Fax
(719) 387-0312
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008635 CO Primary

Addresses

Primary practice location

5770 Flintridge Dr
Colorado Springs, CO 80918-1881

Mailing address

5770 Flintridge Dr Ste 100
Colorado Springs, CO 80918-1870
Phone (719) 445-9902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210624003271 WA Practitioner - Physician Assistant 9739580911 Reassigns benefits to 1 organization
I20241025000712 CO Practitioner - Physician Assistant 9739580911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Neurology Corp PCGroup PAC ID 0042592339, 7 clinicians

Practice addresses (Care Compare)

5770 Flintridge Dr
Suite 100
Colorado Springs, CO 80918-1870
Phone (719) 445-9902

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008635COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Neurology Corp PC CurrentSince Dec 7, 2025 Accepting new patients

Locations

5770 Flintridge Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 445-9902

6285 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 445-9902

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1891340709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 FLINTRIDGE DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181870",
            "telephone_number": "719-445-9902",
            "fax_number": "719-387-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 FLINTRIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181881",
            "telephone_number": "719-445-9902",
            "fax_number": "719-387-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.