NPIMap

Individual provider Active NPI

Jennifer A Camas, MD

  • Pediatrics Physician
  • Brownsville, KY
National Provider Identifier
1902828114
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40180 Issued in KY
Practice address
210 S Main St # 101
Brownsville, KY 42210-9001
Phone
(270) 975-4050
Fax
(866) 809-8145
NPI assigned
Jul 24, 2006
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40180 KY
Pediatrics Physician 208000000X 40180 KY Primary

Addresses

Primary practice location

210 S Main St # 101
Brownsville, KY 42210-9001

Mailing address

6801 Owensboro Rd
Leitchfield, KY 42754-7752
Phone (270) 230-3411

Other identifiers 2

IdentifierTypeStateIssuer
000000502401OtherKYANTHEM
64125511MedicaidKY

Other names 1

  • Jennifer Wade Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000505 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1557367067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians
A Plus Family Healthcare LLCGroup PAC ID 2466728852, 9 clinicians

Practice addresses (Care Compare)

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

210 S Main St
Suite 101
Brownsville, KY 42210-9001
Phone (270) 975-4050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40180KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Family Healthcare LLC CurrentSince Apr 1, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Leitchfield Pediatric Clinic P.S.C. Pediatrics Past Accepting new patients

Locations

210 S Main St
Brownsville, KY 42210
Phone (270) 597-1044

210 S Main St
#101
Brownsville, KY 42210
Phone (270) 975-4050

3046 Dolphin Dr
Ste 100
Elizabethtown, KY 42701
Phone (270) 234-1010

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61385

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Plus Family Healthcare LLCBrownsville, KY, CCN 181156 Federally qualified health center Corporate Officer Jun 1, 2022
A Plus Family Healthcare LLCSonora, KY, CCN 181173 Federally qualified health center Corporate Officer Jun 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1902828114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 OWENSBORO RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427547752",
            "telephone_number": "270-230-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST # 101",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422109001",
            "telephone_number": "270-975-4050",
            "fax_number": "866-809-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMAS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "40180",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "40180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000502401",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64125511",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brownsville, KY

Sources for this page

Verify at the official NPI Registry.