Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenda Camilo, ACNPC-AG

Individual provider Adult Health Nurse Practitioner · NPI 1568196202

Brenda Camilo, ACNPC-AG is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2020, 6 years ago. Practices with Prospect Chartercare Physicians LLC, a 70-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Rhode Island.

Years since qualifying
6
Licensed in
NY, RI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

50 Maude St Fl 3
Providence, RI 02908-4325
Phone: (401) 456-6510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN04166 (RI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence F431982-01 (NY)

Record details

NPI number1568196202
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJuly 9, 2022
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prospect Chartercare Physicians Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence