MS. CAMILLE PHEONA SHAKO NP
NPI 1477149250
Nurse Practitioner - Family in Brooklyn, NY
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 maintains a secondary practice location in Brooklyn.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Camille Shako reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mamaroneck, NY 10543
- Reassigned Medicare billing, New York enrollment
- 149 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 65 clinicians in this Medicare group
Cortlandt Manor, NY 10567
- Reassigned Medicare billing, New York enrollment
- 307 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYPhysician 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.
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.
BROOKLYN, NY 11209
BROOKLYN, NY 11209
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 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.
Where is Camille Shako located?
Camille Shako practices at 7404 5th Ave, Brooklyn, NY 11209. The listed phone number is (718) 439-5111.
What is Camille Shako's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Camille Shako enrolled in Medicare?
Yes. Camille Shako 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.
Which organizations bill Medicare for Camille Shako's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Shako reassigns Medicare benefits to 3 organizations: Open Door Family Medical Center, Inc. (Mamaroneck, NY), Doctors United, Inc (White Plains, NY) and The Westchester Medical Practice, PC (Cortlandt Manor, NY). Each 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 Shako's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Camille Shako affiliated with any hospitals?
According to CMS data, Camille Shako is affiliated with Hudson Valley Hospital Center.
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.
# Ms. Camille Pheona Shako, NP · NPI 1477149250
Family physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 16, 2020.
## Identity
- **NPI:** 1477149250 (Entity type: Individual)
- **Enumerated:** December 16, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 342467 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7404 5TH AVE, Brooklyn, NY 11209-2704
- **Phone:** (718) 439-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Open Door Family Medical Center, Inc. (NPI 1487194155, Mamaroneck, NY); Doctors United, Inc (NPI 1508979162, White Plains, NY); The Westchester Medical Practice, PC (NPI 1982109120, Cortlandt Manor, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477149250) · Data from the CMS NPPES public registry.