NICOLE AGATHA CAMACHO NP
NPI 1790544526
Nurse Practitioner - Family in Bronx, NY

Active since March 14, 2024PECOS Enrolled
3400 BAINBRIDGE AVE FL 4, BRONX, NY 10467(718) 920-4800 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Jul 5, 2024 (2 updates tracked since 2024).

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

NPI1790544526
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE AGATHA CAMACHOCredential: NP
Location Address3400 BAINBRIDGE AVE FL 4Bronx, NY 10467-2404
Mailing Address670 Midwood RdRidgewood, NJ 07450-5518 · (347) 415-3178
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 14, 2024
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1790544526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 354274
Also ListedRegistered NurseTaxonomy 163W00000X · License 637965 (NY)
3400 BAINBRIDGE AVE FL 4, Bronx, NY 10467

Secondary Practice Location 1

Location 13073 Buhre Ave Apt 5HBronx, NY 10461-4737 · Phone (347) 415-3178

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Agatha Camacho Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678013067
PECOS Enrollment IDI20240912000753
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.

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, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 5

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

Nurse Practitioner
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467
Dietitian, Registered
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467
Surgery (Vascular Surgery)
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467
Surgery (Vascular Surgery)
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467
Surgery
3400 BAINBRIDGE AVE FL 4
BRONX, NY 10467

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.

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 19 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.