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LULLETE TIU CAMARA APRN
NPI 1639047392
Nurse Practitioner - Primary Care in Crystal Lake, IL

Active since October 24, 2025PECOS EnrolledAccepts Medicare Assignment
365 MILLENNIUM DR STE D, CRYSTAL LAKE, IL 60012(815) 301-4034(815) 301-4035 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lullete Tiu Camara Aprn NPPES

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

LULLETE TIU CAMARA APRN (NPI 1639047392) is an individual primary care provider in Crystal Lake, Illinois, licensed in Illinois (209033677) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639047392
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLULLETE TIU CAMARACredential: APRN
Location Address365 MILLENNIUM DR STE DCrystal Lake, IL 60012-3747
Mailing Address6617 Majestic WayCarpentersville, IL 60110-3439 · (815) 301-4034 · Fax (815) 301-4035
Phone(815) 301-4034
Fax(815) 301-4035
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 24, 2025
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1639047392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209033677
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 041307554 (IL)
365 MILLENNIUM DR STE D, Crystal Lake, IL 60012
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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

Lullete Tiu Camara Aprn 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 ID9537115373
PECOS Enrollment IDI20251117002771
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lullete Camara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renew Wound Care Of Illinois PLLC
35 mi
Internal Medicine
200 MARTIN AVE
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1578146882 (929) 491-7700
Jet Healthcare LLC
40 mi
Nurse Practitioner
5979 NEBESHONE LN
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1265052401 (815) 977-4580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60012 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Lullete Camara's NPI number?

The NPI number for Lullete Camara is 1639047392. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Lullete Camara located?

Lullete Camara practices at 365 Millennium Dr Ste D, Crystal Lake, IL 60012. The listed phone number is (815) 301-4034.

What is Lullete Camara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lullete Camara enrolled in Medicare?

Yes. Lullete Camara 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 Lullete Camara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lullete Camara reassigns Medicare benefits to 2 organizations: Renew Wound Care Of Illinois PLLC (Naperville, IL) and Jet Healthcare LLC (Rockford, IL). 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 Lullete Camara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lullete Camara was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.