BRENDA CAMILO ACNPC-AG
NPI 1568196202
Nurse Practitioner - Adult Health in Providence, RI
About Brenda Camilo Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA CAMILO ACNPC-AG (NPI 1568196202) is an individual adult health provider in Providence, Rhode Island, licensed in Rhode Island (APRN04166) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Brenda Camilo Acnpc-ag 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
6Medicare enrollment records show Brenda Camilo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cranston, RI 02920
- Reassigned Medicare billing, Rhode Island enrollment
- 65 clinicians in this Medicare group
Cranston, RI 02920
- Reassigned Medicare billing, Rhode Island enrollment
- 146 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 445 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Rhode Island enrollment
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 9 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New York and Rhode Island enrollments
- 84 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, New York and Rhode Island enrollments
- 73 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
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Roger Williams Medical Center
Acute Care Hospitals · Providence, RIOur Lady Of Fatima Hospital
Acute Care Hospitals · North Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Brenda Camilo's NPI number?
The NPI number for Brenda Camilo is 1568196202. It was assigned to this individual provider in the NPPES registry on July 9, 2022.
Where is Brenda Camilo located?
Brenda Camilo practices at 50 Maude St Fl 3, Providence, RI 02908. The listed phone number is (401) 456-6510.
What is Brenda Camilo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Brenda Camilo enrolled in Medicare?
Yes. Brenda Camilo 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 Brenda Camilo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Camilo reassigns Medicare benefits to 6 organizations: Chartercare Physicians, LLC (Cranston, RI), Prospect Chartercare Physicians, LLC (Cranston, RI), White Plains Physician Services PC (White Plains, NY), Daniel Funsch Jr, M.D., P.C. (New York, NY), Ivy Medical Group PLLC (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Brenda Camilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Brenda Camilo affiliated with any hospitals?
According to CMS data, Brenda Camilo is affiliated with Roger Williams Medical Center and Our Lady Of Fatima Hospital.
When was this NPI record last updated?
The NPPES record for Brenda Camilo was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Brenda Camilo, ACNPC-AG · NPI 1568196202
Adult Health physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since July 9, 2022.
## Identity
- **NPI:** 1568196202 (Entity type: Individual)
- **Enumerated:** July 9, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN04166 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 MAUDE ST FL 3, Providence, RI 02908-4325
- **Phone:** (401) 456-6510
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Chartercare Physicians, LLC (NPI 1235945650, Cranston, RI); Prospect Chartercare Physicians, LLC (NPI 1629493135, Cranston, RI); White Plains Physician Services PC (NPI 1124502687, White Plains, NY); Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Ivy Medical Group PLLC (NPI 1700558798, New York, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568196202) · Data from the CMS NPPES public registry.