JACQUELINE FUENTES CAMACHO NP
NPI 1639781958
Nurse Practitioner in Yuma, AZ

Q: What is Jacqueline Fuentes Camacho's NPI number?

The NPI number for Jacqueline Fuentes Camacho is 1639781958. It was assigned to this individual provider in the NPPES registry on August 18, 2020. The provider is also known as Jacqueline Fuentes.

Q: What is Jacqueline Fuentes Camacho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment

2451 S AVENUE A STE A104, YUMA, AZ 85364(928) 336-2165 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, Apr 4, 2024, Aug 18, 2020 (3 updates tracked since 2020).

On this page

About Jacqueline Fuentes Camacho Np NPPES

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

JACQUELINE FUENTES CAMACHO NP (NPI 1639781958) is an individual nurse practitioner in Yuma, Arizona, licensed in Arizona (305501) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639781958

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE FUENTES CAMACHOCredential: NP

Location Address2451 S AVENUE A STE A104Yuma, AZ 85364-7189

Mailing Address2400 S Avenue AYuma, AZ 85364-7170 · (928) 344-2000

Phone(928) 336-2165

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 18, 2020

Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration

NPPES CertifiedNovember 19, 2024

✔ NPI 1639781958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 305501

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN208944 (AZ)

2451 S AVENUE A STE A104, Yuma, AZ 85364

Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Fuentes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

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

Jacqueline Fuentes Camacho Np 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 ID2264871441

PECOS Enrollment IDI20240421000126

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 Jacqueline Fuentes Camacho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yuma Regional Medical Center

0.1 mi

General Acute Care Hospital

2400 S AVE A
Yuma, AZ 85364

Reassigned Medicare billing, Arizona enrollment
557 clinicians in this Medicare group

NPI 1194706655 (928) 344-2000

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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

181 services119 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

104 services76 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIO VAZQUEZ NP

Nurse Practitioner