Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Nina Rae Cammilleri, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1619639663

Miss. Nina Rae Cammilleri, PHYSICIANASSISTANT is a Physician Assistant in Rochester, New York. Qualified in 2021, 5 years ago. Practices with Internal Medicine Group, a 166-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027317 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 27317 (NY)

Record details

NPI number1619639663
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 7, 2021
Last updated in NPPESJuly 17, 2023
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Internal Medicine Group — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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