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LANCE WILLIAM CAMACHO PA-C
NPI 1497084198
Physician Assistant - Medical in United States Air Force Acad, CO

Active since December 09, 2009PECOS Enrolled
4102 PINION DR, UNITED STATES AIR FORCE ACAD, CO 80840(719) 333-6054 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Sep 5, 2018 (2 updates tracked since 2018).

About Lance William Camacho Pa-c NPPES

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

LANCE WILLIAM CAMACHO PA-C (NPI 1497084198) is an individual medical provider in United States Air Force Acad, Colorado, licensed in Texas (PA08575) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497084198
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLANCE WILLIAM CAMACHOCredential: PA-C
Location Address4102 PINION DRUnited States Air Force Acad, CO 80840-2502
Mailing Address4102 Pinion DrUsaf Academy, CO 80840-2502 · (719) 333-6054
Phone(719) 333-6054
Sole ProprietorYes
Enumeration DateDecember 9, 2009
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1497084198 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
Licenses✔ Licensed in TX · PA08575✔ Licensed in FL · PA9109563
4102 PINION DR, United States Air Force Acad, CO 80840
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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 (PECOS)

Lance William 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.

KAREN KEEN HARMON LCSW
Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5177
DR. JEANETTE MASON BACHMANN M.D.
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5111
REBECCA VAN WINKLE RN
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 440-7339
LESLIE SUE MATTORANO PHARMD
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-6337
KAY LYN NESS DDS
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
El Paso County (719) 333-5180
ROBERT LLOYD ELWOOD M.D.
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5975
DR. EVAN MATTHEW JONES M.D.
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5081
STACY KESER
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-3107

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 Lance Camacho's NPI number?

The NPI number for Lance Camacho is 1497084198. It was assigned to this individual provider in the NPPES registry on December 9, 2009.

Where is Lance Camacho located?

Lance Camacho practices at 4102 Pinion Dr, United States Air Force Acad, CO 80840. The listed phone number is (719) 333-6054.

What is Lance Camacho's specialty?

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

Is Lance Camacho enrolled in Medicare?

Yes. Lance Camacho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lance Camacho was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.