MS. CAMILLE PHEONA SHAKO NP
NPI 1477149250
Nurse Practitioner - Family in Brooklyn, NY

Q: What is Camille Shako's NPI number?

The NPI number for Camille Shako is 1477149250. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Q: What is Camille Shako's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Camille Shako was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 16, 2020PECOS EnrolledAccepts Medicare Assignment

7404 5TH AVE, BROOKLYN, NY 11209(718) 439-5111 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2024, May 3, 2024, Dec 16, 2020 (3 updates tracked since 2020).

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About Ms. Camille Pheona Shako Np NPPES

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

MS. CAMILLE PHEONA SHAKO NP (NPI 1477149250) is an individual family provider in Brooklyn, New York, licensed in New York (342467) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Hudson Valley Hospital Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477149250

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CAMILLE PHEONA SHAKOCredential: NP

Location Address7404 5TH AVEBrooklyn, NY 11209-2704

Mailing Address472 Gramatan Ave Apt I3Mount Vernon, NY 10552-2900 · (914) 610-0561

Phone(718) 439-5111

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 16, 2020

Last NPPES UpdateMay 17, 20243 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1477149250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 342467

Also ListedGeneral PracticeTaxonomy 208D00000X · License 342467 (NY)

7404 5TH AVE, Brooklyn, NY 11209

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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

Ms. Camille Pheona Shako Np 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 ID5698188407

PECOS Enrollment IDI20210428003005

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services34 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services20 patients

Hospital Affiliations CMS Care Compare

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

Hudson Valley Hospital Center

Acute Care Hospitals · Cortlandt Manor, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330267

Location1980 Crompond RoadCortlandt Manor, NY 10567 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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.

JESSICA VICTORIA CLEMENTE FNP-BE, VA-BC

Nurse Practitioner (Family)