Individual provider Active NPI

Camille Louise Lamell, PA-C

  • Physician Assistant
  • Morrisville, VT
National Provider Identifier
1972951432
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0550031699 Issued in VT
Practice address
555 Washington Hwy
Morrisville, VT 05661-8972
Phone
(802) 888-8405
Fax
(802) 888-8406
NPI assigned
May 25, 2016
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5721 MA
Physician Assistant 363A00000X 0550031699 VT Primary

Addresses

Primary practice location

555 Washington Hwy
Morrisville, VT 05661-8972

Mailing address

555 Washington Hwy
Morrisville, VT 05661-8972
Phone (802) 888-8405

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 443-7552

Other names 1

  • Camille L Prevost Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cprevost23552@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160808001086 MA Practitioner - Physician Assistant 4486948841 Reassigns benefits to 1 organization
I20230828000243 VT Practitioner - Physician Assistant 4486948841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

195 Industrial Pkwy
Lyndonville, VT 05851-4511
Phone (802) 748-9501

528 Washington Hwy
Morrisville, VT 05661-8973

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA5721MAMDPhysician Assistant
0550031699VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital, Inc CurrentSince Aug 14, 2023 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Jan 1, 2025 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 20, 2016 Accepting new patients

Locations

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

195 Industrial Pkwy
Lyndonville, VT 05851

195 Industrial Pkwy
#1
Lyndonville, VT 05851

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

90 Doctor Tinker St
Morrisville, VT 05661
Phone (802) 760-6291

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • Direct secure messaging: cprevost23552@umassmemorial.direct-ci.com

Organizations & group practices 9

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 5

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1972951432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618972",
            "telephone_number": "802-888-8405",
            "fax_number": "802-888-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618972",
            "telephone_number": "802-888-8405",
            "fax_number": "802-888-8406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "774-443-7552",
            "fax_number": "774-441-6086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMELL",
        "first_name": "CAMILLE",
        "middle_name": "LOUISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5721",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "0550031699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprevost23552@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "PREVOST",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.