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NICHOLAS ANTHONY CAMILLERI
NPI 1114457991
Nurse Anesthetist, Certified Registered in Jackson, MI

Active since June 14, 2017Accepts Medicare Assignment
205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT, JACKSON, MI 49201(517) 788-4963(517) 789-5903 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Jun 14, 2017 (2 updates tracked since 2017).

About Nicholas Anthony Camilleri NPPES

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

NICHOLAS ANTHONY CAMILLERI (NPI 1114457991) is an individual nurse anesthetist, certified registered in Jackson, Michigan, licensed in Michigan (4704272138) and active in the NPI registry since June 2017. He is affiliated with Henry Ford Allegiance Health and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114457991
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS ANTHONY CAMILLERI
Location Address205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENTJackson, MI 49201
Mailing Address2006 Hogback Rd Ste 5aAnn Arbor, MI 48105-9750 · (734) 786-2317 · Fax (734) 786-4977
Phone(517) 788-4963
Fax(517) 789-5903
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1114457991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704272138
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
205 NORTH EAST AVENUE, Jackson, MI 49201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Anthony Camilleri 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 ID5799054177
PECOS Enrollment IDI20170628000061

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 8

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

RUTH ANN DEILUS CRNA
Nurse Anesthetist, Certified Registered
205 NORTH EAST AVENUE
JACKSON, MI 49201
Jackson County (517) 788-4963
MRS. SUSAN MARIE WHITBREAD CRNA
Nurse Anesthetist, Certified Registered
205 NORTH EAST AVENUE
JACKSON, MI 49201
Jackson County (517) 788-4963
MRS. NICOLE ANTONIA MORENO CRNA
Nurse Anesthetist, Certified Registered
205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201
Jackson County (517) 205-4963
JESSICA ALTHAUS
Nurse Anesthetist, Certified Registered
205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201
Jackson County (517) 205-4963
MR. NIROSHAN RANJAN M.D
Internal Medicine
205 NORTH EAST AVENUE
JACKSON, MI 49201
Jackson County (517) 205-7147
INDEPENDENT EMERGENCY PHYSICIANS P.C.
Physician Assistant
205 NORTH EAST AVENUE, EMERGENCY DEPARTMENT
JACKSON, MI 49201
Jackson County (517) 788-4800
CIJI CHRISTINA ROBINSON M.D.
Student in an Organized Health Care Education/Training Program
205 NORTH EAST AVENUE
JACKSON, MI 49201
Jackson County (517) 205-1731
JUDITH A BOLTON CRNA
Nurse Anesthetist, Certified Registered
205 NORTH EAST AVENUE
JACKSON, MI 49201
Jackson County (517) 788-4963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Camilleri's NPI number?

The NPI number for Nicholas Camilleri is 1114457991. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Nicholas Camilleri located?

Nicholas Camilleri practices at 205 North East Avenue Anesthesia Department, Jackson, MI 49201. The listed phone number is (517) 788-4963.

What is Nicholas Camilleri's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholas Camilleri enrolled in Medicare?

Yes. Nicholas Camilleri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Camilleri accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicholas Camilleri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Camilleri affiliated with any hospitals?

According to CMS data, Nicholas Camilleri is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Nicholas Camilleri was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.