MR. JESSICA MELINDA CAMACHO
NPI 1104414259
Social Worker - Clinical in Fresno, CA

Q: What is Jessica Camacho's NPI number?

The NPI number for Jessica Camacho is 1104414259. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Q: What is Jessica Camacho's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Camacho was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment

4785 N 1ST ST, FRESNO, CA 93726(559) 448-4288 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2023, Jan 5, 2021 (2 updates tracked since 2021).

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About Mr. Jessica Melinda Camacho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESSICA MELINDA CAMACHO (NPI 1104414259) is an individual clinical provider in Fresno, California, licensed in California (101205) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104414259

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JESSICA MELINDA CAMACHO

Location Address4785 N 1ST STFresno, CA 93726-0513

Mailing Address4785 N 1st StFresno, CA 93726-0513 · (559) 448-4288

Phone(559) 448-4288

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 5, 2021

Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1104414259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 101205

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 79827 (CA)

4785 N 1ST ST, Fresno, CA 93726

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jessica Melinda Camacho is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709251150

PECOS Enrollment IDI20230417002074

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Camacho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

118 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Marriage & Family Therapist