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CAMILLE M MOONSAMMY NURSE PRACTITIONER
NPI 1639540826
Nurse Practitioner - Adult Health in South Kingstown, RI

Active since October 13, 2015PECOS Enrolled
2071 MINISTERIAL RD, SOUTH KINGSTOWN, RI 02879(917) 439-1043 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Mar 27, 2026, Mar 15, 2026 and 7 more (10 updates tracked since 2015).

About Camille M Moonsammy Nurse Practitioner NPPES

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

CAMILLE M MOONSAMMY NURSE PRACTITIONER (NPI 1639540826) is an individual adult health provider in South Kingstown, Rhode Island, licensed in Rhode Island (APRN01546) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639540826
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAMILLE M MOONSAMMYCredential: NURSE PRACTITIONER
Location Address2071 MINISTERIAL RDSouth Kingstown, RI 02879-1328
Mailing Address2071 Ministerial RdSouth Kingstown, RI 02879-1328 · (917) 439-1043
Phone(917) 439-1043
Sole ProprietorYes
Enumeration DateOctober 13, 2015
Last NPPES UpdateAugust 19, 202610 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1639540826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in RI · APRN01546
2071 MINISTERIAL RD, South Kingstown, RI 02879
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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 (PECOS)

Camille M Moonsammy Nurse Practitioner 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.

Medicare Billing Reassignment

Medicare enrollment records show Camille Moonsammy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mdri LLC
15 mi
Primary Care
1407 S COUNTY TRL STE 432
East Greenwich, RI 02818
  • Reassigned Medicare billing, Rhode Island enrollment
  • 17 clinicians in this Medicare group
NPI 1922887157 (401) 398-0288

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 02879 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 Camille Moonsammy's NPI number?

The NPI number for Camille Moonsammy is 1639540826. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Camille Moonsammy located?

Camille Moonsammy practices at 2071 Ministerial Rd, South Kingstown, RI 02879. The listed phone number is (917) 439-1043.

What is Camille Moonsammy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Camille Moonsammy enrolled in Medicare?

Yes. Camille Moonsammy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camille Moonsammy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Moonsammy reassigns Medicare benefits to Mdri LLC (East Greenwich, RI). The 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 Moonsammy'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 Camille Moonsammy was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.