HALEY CAMACHO PA-C
NPI 1386248763
Physician Assistant - Medical in Clarkston, MI

Q: What is Haley Camacho's NPI number?

The NPI number for Haley Camacho is 1386248763. It was assigned to this individual provider in the NPPES registry on November 25, 2020. The provider is also known as Haley Durrant.

Q: What is Haley Camacho's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Haley Camacho was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 25, 2020PECOS Enrolled

5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346(248) 625-2621(248) 625-2622 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Nov 25, 2020 (2 updates tracked since 2020).

On this page

About Haley Camacho Pa-c NPPES

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

HALEY CAMACHO PA-C (NPI 1386248763) is an individual medical provider in Clarkston, Michigan, licensed in Michigan (5601010101) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386248763

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHALEY CAMACHOCredential: PA-C

Location Address5701 BOW POINTE DR STE 100Clarkston, MI 48346-3199

Mailing Address5701 Bow Pointe Dr Ste 100Clarkston, MI 48346-3199 · (248) 625-2621 · Fax (248) 625-2622

Phone(248) 625-2621

Fax(248) 625-2622

Sole ProprietorYes

Enumeration DateNovember 25, 2020

Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1386248763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601010101

5701 BOW POINTE DR STE 100, Clarkston, MI 48346

Open in Google Maps ↗

Other Names 1

Former Name (1)Haley Durrant

Secondary Practice Locations 2

Location 15625 Water Tower Pl Ste 200Clarkston, MI 48346-2674 · Phone (248) 625-2621 · Fax (248) 625-2622

Location 25625 Water Tower Pl Ste 300Clarkston, MI 48346-2674 · Phone (248) 625-2621 · Fax (248) 625-2622

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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Camacho Pa-c 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.

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.

JACLYN WOLF NP

Nurse Practitioner (Family)