CAMILLE REBUENO - NPI 1922736222 - Nurse Practitioner in Tustin, CA

Q: What is Camille Rebueno's NPI number?

The NPI number for Camille Rebueno is 1922736222. It was assigned to this individual provider in the NPPES registry on August 13, 2022.

Q: What is Camille Rebueno's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Camille Rebueno was last updated on August 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Camille Rebueno NPPES

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

CAMILLE REBUENO (NPI 1922736222) is an individual nurse practitioner in Tustin, California, licensed in California (95020907) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922736222

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAMILLE REBUENO

Location Address17612 17TH ST STE 101Tustin, CA 92780-1962

Mailing Address17612 17th St Ste 101Tustin, CA 92780-1962 · (714) 243-5450

Phone(714) 243-5450

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 13, 2022

NPPES CertifiedAugust 13, 2022

✔ NPI 1922736222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95020907

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.

17612 17TH ST STE 101, Tustin, CA 92780

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Rebueno 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 ID7214426949

PECOS Enrollment IDI20251031001107

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 10

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

HENRY C. LUU

Physician Assistant