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CAMILLE D AUDETTE DO
NPI 1902366602
Pediatrics - Pediatric Emergency Medicine in Worcester, MA

Active since March 20, 2019PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(774) 442-2599(774) 442-2510 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Jun 21, 2023, Sep 8, 2022 and 1 more (4 updates tracked since 2019).

About Camille D Audette Do NPPES

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

CAMILLE D AUDETTE DO (NPI 1902366602) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (292331) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grafton.

NPPES Registry Identity

NPI1902366602
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameCAMILLE D AUDETTECredential: DO
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(774) 442-2599
Fax(774) 442-2510
Sole ProprietorNo
Enumeration DateMarch 20, 2019
Last NPPES UpdateJune 26, 20264 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1902366602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 292331
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 292331 (MA)
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Secondary Practice Location 1

Location 128 Grafton CmnGrafton, MA 01519-1534 · Phone (508) 466-7120 · Fax (774) 293-1288

Other Identifiers 1

Medicaid110153943AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille D Audette Do 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.

Other Providers at the Same Location NPPES 20

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

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Audette's NPI number?

The NPI number for Camille Audette is 1902366602. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Camille Audette located?

Camille Audette practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-2599.

What is Camille Audette's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Camille Audette enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Camille Audette was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.