1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Pediatrics
  6. NPI Profile

DR. CAMILLE NINA IMMANUEL MD MHS
NPI 1295021483
Pediatrics - Pediatric Critical Care Medicine in Durham, NC

Active since June 26, 2011PECOS Enrolled
71.01/100
CMS Quality Rating
4100 COBSCOOK DR, DURHAM, NC 27707(276) 451-4700(276) 451-4700 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Camille Nina Immanuel Md Mhs NPPES

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

DR. CAMILLE NINA IMMANUEL MD MHS (NPI 1295021483) is an individual pediatric critical care medicine provider in Durham, North Carolina, licensed in Utah (10549592-1205) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295021483
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. CAMILLE NINA IMMANUELCredential: MD MHS
Location Address4100 COBSCOOK DRDurham, NC 27707-5706
Mailing Address42 Sycamore Rd, Apt CClifton, NJ 07012-7330 · (276) 451-4700
Phone(276) 451-4700
Fax(276) 451-4700
Sole ProprietorNo
Enumeration DateJune 26, 2011
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1295021483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in UT · 10549592-1205
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 39 (NJ)
4100 COBSCOOK DR, Durham, NC 27707
Open in Google Maps ↗

Other Identifiers 1

Other#39NJ · Student & Education

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Camille Nina Immanuel Md Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Camille Immanuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
1,146 mi
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1790103869 (512) 628-1800

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

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 Camille Immanuel's NPI number?

The NPI number for Camille Immanuel is 1295021483. It was assigned to this individual provider in the NPPES registry on June 26, 2011.

Where is Camille Immanuel located?

Camille Immanuel practices at 4100 Cobscook Dr, Durham, NC 27707. The listed phone number is (276) 451-4700.

What is Camille Immanuel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Camille Immanuel enrolled in Medicare?

Yes. Camille Immanuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camille Immanuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Immanuel reassigns Medicare benefits to Dell Children's Medical Group (Round Rock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Immanuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Immanuel accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and Sendero Health Plans, Local Nonprofit list Camille Immanuel 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.

When was this NPI record last updated?

The NPPES record for Camille Immanuel was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.