Individual provider Active NPI

Cameron Miller Barnes, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1912420050
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
15821 Hollyfern CT
Fort Myers, FL 33908-3732
Phone
(239) 432-5100
Fax
(239) 432-0629
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 Primary

Addresses

Primary practice location

15821 Hollyfern CT
Fort Myers, FL 33908-3732

Mailing address

20254 Royal Villagio CT Unit 102
Estero, FL 33928-3138
Phone (859) 351-9152

Other practice location 1

5513 Colby Rd
Winchester, KY 40391-9778
Phone (859) 351-9152

Other practice location 2

5513 Colby Rd
Winchester, KY 40391-9778
Phone (859) 351-9152

Other practice location 3

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241030002210 CO Practitioner - Physician Assistant 4880127737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

1600 Mid Valley Dr
Unit a
Steamboat Springs, CO 80487-9006
Phone (970) 879-1322

2305 Mount Werner Cir
Suite P.027
Steamboat Springs, CO 80487-9023
Phone (970) 871-8038

Hospital & facility affiliations

  • Uchealth Yampa Valley Medical Center Hospital, Steamboat Springs, CO, CCN 060049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center CurrentSince Nov 4, 2024 Accepting new patients
Yampa Valley Medical Center CurrentSince Nov 4, 2024 Accepting new patients
Yampa Valley Medical Center PastSince Aug 1, 2022 Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

2305 Mount Werner Cir
Steamboat Springs, CO 80487

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

1600 Mid Valley Dr
Unit A
Steamboat Springs, CO 80487
Phone (970) 871-9770

2305 Mount Werner Cir
#P27
Steamboat Springs, CO 80487
Phone (970) 871-8038

2305 Mount Werner Cir
Ste P27
Steamboat Springs, CO 80487
Phone (970) 871-8038

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1912420050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20254 ROYAL VILLAGIO CT UNIT 102",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283138",
            "telephone_number": "859-351-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 HOLLYFERN CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083732",
            "telephone_number": "239-432-5100",
            "fax_number": "239-432-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5513 Colby Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403919778",
            "country_code": "US",
            "telephone_number": "859-351-9152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5513 Colby Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403919778",
            "country_code": "US",
            "telephone_number": "859-351-9152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816258750",
            "country_code": "US",
            "telephone_number": "970-824-9411",
            "fax_number": "970-826-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "CAMERON",
        "middle_name": "MILLER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.