NICOLE AGATHA CAMACHO NP
NPI 1790544526
Nurse Practitioner - Family in Bronx, NY
About Nicole Agatha Camacho Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE AGATHA CAMACHO NP (NPI 1790544526) is an individual family provider in Bronx, New York, licensed in New York (354274) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Agatha Camacho Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Camacho reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
- 6 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Camacho's NPI number?
The NPI number for Nicole Camacho is 1790544526. It was assigned to this individual provider in the NPPES registry on March 14, 2024.
Where is Nicole Camacho located?
Nicole Camacho practices at 3400 Bainbridge Ave Fl 4, Bronx, NY 10467. The listed phone number is (718) 920-4800.
What is Nicole Camacho's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Camacho enrolled in Medicare?
Yes. Nicole Camacho is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Camacho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Camacho reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Liliana Lopez Np In Family Health PC (Spring Valley, NY). 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 Nicole Camacho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicole Camacho affiliated with any hospitals?
According to CMS data, Nicole Camacho is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Camacho was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nicole Agatha Camacho, NP · NPI 1790544526
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 14, 2024.
## Identity
- **NPI:** 1790544526 (Entity type: Individual)
- **Enumerated:** March 14, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 354274 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 BAINBRIDGE AVE FL 4, Bronx, NY 10467-2404
- **Phone:** (718) 920-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Montefiore Medical Center (NPI 1063525152, Bronx, NY); Liliana Lopez Np In Family Health PC (NPI 1356885180, Spring Valley, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 17, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1790544526) · Data from the CMS NPPES public registry.