CAMILLE WILFONG CRNA
NPI 1558246710
Nurse Anesthetist, Certified Registered in Dallas, TX
NPI Status: Active since August 07, 2025
Contact Information
12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251
Phone: (972) 715-5000
Fax: (972) 715-9976
- Individual
- Female
- Years of Experience 1
- Nurse Anesthetist, Certified Registered
- May Accept Medicare Approved Payment
About CAMILLE WILFONG
This page provides the complete NPI Profile along with additional information for Camille Wilfong, a provider established in Dallas, Texas with a medical specialization in Nurse Anesthetist, Certified Registered and more than one year of experience. The healthcare provider is registered in the NPI registry with number 1558246710 assigned on August 2025. The practitioner's primary taxonomy code is 367500000X with license number 1030192 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1558246710
- Provider Name
- CAMILLE WILFONG CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12222 MERIT DR STE 600 DALLAS, TX 75251
- Location Phone
- (972) 715-5000
- Location Fax
- (972) 715-9976
- Mailing Address
- PO BOX 840853 DALLAS, TX 75284
- Mailing Phone
- (972) 233-1999
- Mailing Fax
- (972) 715-9976
- Medical School Name
- OTHER
- Graduation Year
- 2025
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-07-2025
- Last Update Date
- 11-10-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1030192
- License State
- TX
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 1030192 (TX) |
Medicare Participation & PECOS Enrollment Status
Camille Wilfong is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5496245276
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251110001395
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for CAMILLE WILFONG CRNA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558246710, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DALLAS, TX 75251
DALLAS, TX 75251
DALLAS, TX 75251
DALLAS, TX 75251
DALLAS, TX 75251
DALLAS, TX 75251
DALLAS, TX 75251
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558246710, enumerated as an "individual" on August 07, 2025.
The provider is located at 12222 MERIT DR STE 600 DALLAS, TX 75251 and the phone number is (972) 715-5000.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
